State of the county health reports

Adair County
County Demographics 2
Top 10 Leading Causes of Death 2
Nutrition & Obesity 2
Top 10 Leading Causes of Death Table 3
Injury & Violence
Inside this issue:
State of the County’s
Health Report
O K L A H O M A S T A T E D E P A R T M E N T O F H E A L T H
ADAIR County
A Look Back To Move Forward
Teen Pregnancy
Physical Activity, Wellness & Diabetes 4
5
County Health Department Usage
6
Health Care Costs Summary
7
Turning Point
7
The state of Oklahoma has been in a downward health trend
since the 1990’s, until recently. Through the efforts of the state
and county health departments, state and local governments
and the individual communities the health of Oklahomans is
looking up. However, we could do more to improve the health
of the citizens of Oklahoma.
This report focuses on the health factors for the citizens of
Adair County. We will take a look back to discover what has
been affecting the health of the citizens in order to move for-ward
and make healthy, effective and safe changes for all.
Tobacco Use 4
4
Poverty
5
OK By One - State Immunization Date
8
million a year in medical costs in
Adair County.
Alzheimer’s disease and
the complications associ-ated
has increased from
the 16th ranked cause of
death (1983-1993) to the
11th leading cause of
death in persons 65 and
older accounting for a
233% increase in deaths.
same rate as the nation, and
health care costs are reflecting
this downward spiral of
health. For persons under the
age of 65, on average, health
care costs are $395 more for
obese individuals and are
even greater for persons
over the age of 65.
In 2002-2004, 31.3%
With the United States coming in as the
most obese country in the world, health
care costs related to obesity and poor
nutrition are on the rise.
Of the 292 million people in the United
States, 129 million are overweight or
obese according to their body mass in-dex
(BMI). The number of obese (BMI
> 29) and overweight (BMI 25-29) Ok-lahomans
has been increasing at the
(6,750) of people in Adair
County were considered obese
which accounted for an addi-tional
$2,666,250 in medical
costs for the county. These costs
are underestimated because they
do not take into account
the percentage of obese or
overweight persons who
are over the age of 65.
Page 2
Top 10 Leading Causes of Death
Demographics
Nutrition and Obesity
killed 786 people in Adair County
and is still the leading
cause of death among
all age groups. Ac-cording
the Centers
for Disease Control,
almost $400,000 is
spent on each heart
disease-related death.
With an average of 67
deaths a year, heart
disease accounts for almost $25
The top 10 leading causes of death
table on the next page displays a
broad picture of the causes of death
in Adair County. Since many
health-related issues are unique to
specific ages, this table provides
causes of death by age group at a
glance. The causes of death that are
present across almost every age
group have been highlighted.
From 1983 to 1993 heart disease
Heart disease
accounts for almost
$25 million a year in
medical costs in
Adair County.
STATE OF THE COUNTY’S HEALTH REPORT
Sensible Foods — Sensible
Portions
5 to 9 Fruits & Vegetables
a Day
* Vital Statistics, Health Care
Information Systems, OSDH &
* Behavioral Risk Factor Surveillance Sys-tem,
Health Care Information System, OSDH
& Health Affairs Journal, R. Strum, 2002
* U.S. Census Bureau
• Population estimates
o 14% increase 1990 to 2000 (18,421
to 21,038)
o state increase = 10%
o 3.1% increase from 2000 to 2004
o Ranked 16th for growth in state
2000 Census
• Hispanic/Latino ethnicity = 3%
• Race
o Whites = 48.5%
o Native Americans = 42.5%
o Blacks = 0.2%
o Other/Multiple = 8.8%
• Age
o Under 5 = 7.5%
o Over 64 = 12.0%
o Median age = 33.2 years
• Housing units
o Occupied = 7,471 (89.5%)
o Vacant = 877 (10.5%)
• Disability (ages 21 to 64) = 26.6%
state = 21.5% national = 19.2%
• Families below poverty = 19.4%
state = 11.2% national = 9.2%
Adair County Population Growth with Projections
0
5,000
10,000
15,000
20,000
25,000
30,000
35,000
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2010
2015
2020
2025
2030
Year
County Population
0.00%
0.10%
0.20%
0.30%
0.40%
0.50%
0.60%
0.70%
0.80%
0.90%
1.00%
Percent of State
Population
Adair % OF STATE
Top 10 Causes of Death by Age Group
Adair County 1993-2003
Rank 0-4 05-14 15-24 25-34 35-44 45-54 55-64 65+ All Ages
1
CONGENITAL
ANOMALIES
UNINTENT.
INJURY
UNINTENT.
INJURY
UNINTENT.
INJURY CANCER CANCER CANCER HEART DISEASE HEART DISEASE
13 5 32 16 24 55 108 585 738
2
PERINATAL
PERIOD HEART DISEASE HOMICIDE/
LEGAL
HOMICIDE/
LEGAL
UNINTENT.
INJURY HEART DISEASE HEART DISEASE CANCER CANCER
11 1 5 8 18 37 92 323 517
3
UNINTENT.
INJURY
HOMICIDE/
LEGAL CANCER SUICIDE HEART DISEASE UNINTENT.
INJURY
DIABETES
MELLITUS STROKE STROKE
5 1 4 7 17 18 26 155 188
4
SIDS HYPERTENSION SUICIDE HEART DISEASE HOMICIDE/
LEGAL
DIABETES
MELLITUS STROKE INFLUENZA/
PNEUMONIA
UNINTENT.
INJURY
3 1 3 3 7 11 19 81 148
5
STROKE SUICIDE HEART DISEASE DIABETES
MELLITUS STROKE LIVER DISEASE
BRONCHITIS/
EMPHYSEMA/
ASTHMA
BRONCHITIS/
EMPHYSEMA/
ASTHMA
DIABETES
MELLITUS
2 1 2 2 6 11 16 76 109
6
HEART DISEASE OTHER OTHER HIV LIVER DISEASE STROKE UNINTENT.
INJURY
DIABETES
MELLITUS
BRONCHITIS/
EMPHYSEMA/
ASTHMA
1 1 5 2 6 5 12 67 95
7
CANCER CANCER SUICIDE SUICIDE LIVER DISEASE UNINTENT.
INJURY
INFLUENZA/
PNEUMONIA
1 2 6 5 5 42 88
8
OTHER CONGENITAL
ANOMALIES
DIABETES
MELLITUS
BRONCHITIS/
EMPHYSEMA/
ASTHMA
KIDNEY DISEASE KIDNEY DISEASE
SEPTICEMIA
(BLOOD
POISONING)
8 1 3 3 4 26 33
9
LIVER DISEASE HIV HOMICIDE/
LEGAL
SEPTICEMIA
(BLOOD
POISONING)
SEPTICEMIA
(BLOOD
POISONING)
LIVER DISEASE
1 3 3 4 26 31
10
OTHER INFLUENZA/
PNEUMONIA
INFLUENZA/
PNEUMONIA
TWO CAUSES
TIED
ATHERO-SCLEROSIS
KIDNEY DISEASE
7 2 3 3 25 30
Data source: Vital Statistics , Health Care Information Division, Oklahoma State Department of Health
Produced by: Community Development Service, Community Health Services, Oklahoma State Department of Health July 2005
problem of the individual but also the
community as a whole. With health
care costs on the rise, target-ing
areas such as tobacco
use is an effective way to
control those costs.
In 2002, the CDC estimated
that a person that used to-bacco
accrued over $3,300
in health care costs per year.
According to the Behavioral
Risk Factor Surveillance System, it is
estimated that 22.8% (4,917) of people
in Adair County use
tobacco of some sort.
Medical costs accu-mulated
by those per-sons
are over $16
million a year for
Adair County.
According to the 2005 State of the
State’s Health Report, tobacco use
among Oklahomans has remained
fairly stable from 1990 to 2002.
Oklahoma has been consistently
higher in its tobacco use than the
nation and is 30% higher than the
nation on the amount of tobacco
consumed per capita (103 packs vs.
79 packs).
Tobacco use is no longer just the
Across the nation and the state of
Oklahoma, unintentional and violence-related
injuries are on the rise. Unin-tentional
injuries account for the 4th
leading cause of death in the United
States and the 5th leading cause of
death in Oklahoma from 1999-2002.
For persons ages 1 to 44 in Oklahoma,
unintentional injuries are the leading
cause of death.
This trend does not change much in
Adair County. Unintentional injuries
are the leading cause of death from
ages 5 to 34 and the 2nd cause of death
in ages 35 to 44 in Adair County.
It is estimated that for every motor ve-hicle-
related death $1.1 million in eco-nomic
costs are incurred. For Adair
County which has an average of 9.4
motor vehicle-related deaths a year,
that translates to over $10 million a
year.
Violence-related injuries (homicide and
suicide) in Adair County are ranked in the
top 10 in five of the eight age groups (see
Top 10 list on page 3).
(9,533) of people in Adair
County had no leisure ac-tivity
in the past month at
the time they were sur-veyed.
The BRFSS also indicated
that 10.4% (2,243) of
Adair County citizens have
been diagnosed by a health
professional as having dia-
The increasing inactivity of the U.S.
population is contributing to an increase
in numerous poor health-related out-comes.
Physical inactivity robs the body
of precious energy needed to function
properly, in turn health declines and rates
of various chronic diseases escalate.
According to the 2002-2004 Behavioral
Risk Factor Surveillance System
(BRFSS), it is estimated that 44.2%
betes. In 2002, the per capita
annual healthcare costs for
people with diabetes was
$13,243 compared to $2,560
for people without diabetes.
Persons with diabetes accumu-lated
health care costs of
$29,704,049 in one year for
Adair County.
Page 4
Tobacco Use
Injury and Violence
Physical Activity, Wellness and Diabetes
“Medical costs
accumulated by those
persons are over $16
million a year for Adair
County”
STATE OF THE COUNTY’S HEALTH REPORT
Increase activity gradually.
Moderate exercise for 30
minutes 5 days a week.
Injury and Violence-Related Deaths in Adair County,
1999-2003
0
2
4
6
8
10
12
14
16
1999 2000 2001 2002 2003
Year of Death
Number of Deaths
Drowning Falls Fires/Burns Homicide MVC Poisonings Suicide
* Vital Statistics, Health Care
Information Systems, OSDH &
Centers for Disease Control
* Vital Statistics, Health Care
Information Systems, OSDH &
National Safety Council
* Behavioral Risk Factor Surveil-lance
System, Health Care Infor-mation
System, OSDH & Ameri-can
Diabetes Association, 2002
While births to teen mothers (age 15 to
19) are on the decline in both the U.S.
and Oklahoma, Oklahoma has moved
up in rank from 13th to 8th in the
country. In 1993 the rate of teen births
was 60.0 (per 1,000 15-19 year old
females) in the U.S. and 66.6 in
Oklahoma. In 2003, the rate de-creased
to 41.7 in the U.S. and
55.8 in Oklahoma, a decrease of
Page 5
Teen Pregnancy
* Sawhill V., Policy Brief #8, The Brookings Institute; Vi-tal
Statistics, Health Care Information Systems, OSDH &
National Vital Statistics, Centers for Disease Control
ADAIR COUNTY
Rate of Live Births to Teen Mothers,Ages 15-19, Adair
County, 1993 to 2003
0
20
40
60
80
100
120
140
1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003
Year
Rate per 1,000 15-19 year
old females
*2003 U.S. data is preliminary Adair Oklahoma U.S.*
As the nation advances in tech-nology
and the ability to detect
and prevent disease at an ear-lier
stage, persons that are im-poverished
carry a large burden
of poor health outcomes.
Higher incidences of un-planned
or unwanted pregnan-cies,
teen pregnancy, inade-quate
prenatal care, higher rates of
low-birth-weight babies, infant
deaths and low immunization rates
are all associated with poverty
along with a myriad of other ad-verse
health outcomes.
According to the 2000 census,
23.2% of persons in Adair County
for whom poverty status was
known had an income below what
was needed to live at the federal
poverty level. Adair County is
58% above the state (14.7%) and
87% above the nation (12.4%)
for persons with incomes below
the federal poverty level.
Poverty * U.S. Census Bureau
31% and 7%, respectively.
Children of teen mothers are more likely
to display poor health and social outcomes
than those of older mothers, such as pre-mature
birth, low birth weight, higher
rates of abuse and neglect, and more likely
to go to foster care or do poorly in school.
Additionally, births to teen mothers accu-mulate
$3,200 a year for each teenage
birth, which is passed on to citizens.
According to Oklahoma Vital Statistics,
Adair County had a teen birth rate of
101.7 in 2003 which was a 14% increase
from 2002 (88.9) and a 9% increase since
1993 (93.6).
With an average of 85 births per year, teen
pregnancy costs the citizens of Adair
County $272,000.00 a year.
Note: 13 births to a mother 10-14 years of age occurred during the 11 year period.
Poverty level Total 50% below 51% to 99%
below
poverty level to
149% above
150% to 199%
above
200% and
above
Population
20,552 1,762 3,008 3,479 3,012 9,291
Cumulative Population
1,762 4,770 8,249 11,261 20,552
% of Total
100.0% 8.6% 14.6% 16.9% 14.7% 45.2%
Cumulative %
8.6% 23.2% 40.1% 54.8% 100.0%
Income to Poverty Ratio, Adair County, 2000 Census
Page 6 STATE OF THE COUNTY HEALTH REPORT
OK By One - State Immunization Data * 2 Year-old Immunization Sur-vey,
Immunization Service, OSDH
4:3:1:3:3 Coverage by Location of Shots, Oklahoma, 2004
64.0 66.5 64.1
69.7
0.0
10.0
20.0
30.0
40.0
50.0
60.0
70.0
80.0
Provider Type
Percent
Health Dept
Priv Dr.
IHS/Tribal
Other
Adair
Alfalfa
Atoka
Beaver
Beckham
Blaine
Bryan
Caddo
Canadian
Carter
Cherokee
Choctaw
Cimarron
Cleveland
Coal
Comanche
Cotton
Craig
Creek
Custer
Delaware
Dewey
Ellis
Garfield
Garvin
Grady
Grant
Greer
Harmon
Harper
Haskell
Hughes
Jackson
Jefferson
Johnston
Kay
Kingfisher
Kiowa
Latimer
Le Flore
Lincoln
Logan
Love
McClain
McCurtain
MacIntosh
Major
Marshall
Mayes
Murray
Muskogee
Noble
Nowata
Oklahoma Okfuskee
Okmulgee
Osage
Ottawa
Pawnee
Payne
Pittsburg
Pontotoc
Pottawatomie
Pushmataha
Roger Mills
Rogers
Seminole
Sequoyah
Stephens
Texas
Tillman
Tulsa
Wagoner
Washington
Washita
Woods
Woodward
2003-04 Immunization Coverage Rates
80%
70-79%
66-69%
60-65%
50-59%
<50%
Oklahoma Children On Schedule by Antigen, 2004
0
20
40
60
80
100
2 Mth 4 Mth 6 Mth 12 Mth 15-18
Mth
24 Mth
Age Percent
DTaP
IPV
MMR
Hib
HepB
**Note: County level
data will be available
soon.
ADAIR COUNTY
Motor Vehicle-Related Injury Death
• Average 9.4 deaths per year
• $1,120,000.00 in economic costs
per death
• Total—$10,528,000.00 a year
Tobacco Use
• 22.8% of population (4,928)
• $3,300.00 in health care costs
• Total—$16,262,400.00 a year
Diabetes
• 10.4% of population (2,248 )
• $13,243.00 in healthcare costs a year
• Total—$29,770,264.00 a year
Teen Pregnancy
• Average of 85 births to teen mothers
per year
• $3,200.00 in costs for each birth a
year
• Total— $272,000.00 a year
Cardiovascular Disease (Heart Disease)
• Average 67 deaths a year
• $369,476.69 per death
• Total— $24,754,938.23 a year
Obesity
• 31.3% of population ( 6,765 )
• $395.00 in additional medical costs
per person
• Total—$2,672,175.00
Page 7
County Health Department Usage * PHOCIS, Community
Health Services, OSDH
Grand Total for Adair County:
$84,259,777.23
Health Care Costs Summary
Attended Appointments for Adair County Health Department,
State Fiscal Year 05
Immunizations
WIC
Family Planning
STD
Communicable
Disease
Take Charge!
Dysplasia
Children First
Adult Services
Child
Health
Guidance
Tuberculosis
Early
Intervention
The Oklahoma Turning Point Initiative is public health
improvement in action. The success of the Turning
Point process involves a partnership between the
department of health, local communities, and policy-makers.
The Oklahoma Turning point engine is fueled
by a community-based decision making process
whereby local communities tap into the capacities,
strengths, and vision of their citizens to create and
promote positive, sustainable changes in the public
health system, and the public’s health.
ADAIR COUNTY Page 8
Looking Back to Move Forward
OKLAHOMA STATE DEPARTMENT OF
HEALTH
Phone: 405-271-6127
Fax: 405-271-1225
Email: neil@health.ok.gov
Community Development Service
1000 NE 10th St, Rm 508
Oklahoma City, OK 73117
Report compiled by:
Miriam McGaugh, M.S.
Community Development Service, OSDH
Kelly Baker, MPH
Health Care Information Systems, OSDH
Oklahoma Community Partners
in Public Health Innovation
Alfalfa County
County Demographics 2
Top 10 Leading Causes of Death 2
Nutrition & Obesity 2
Top 10 Leading Causes of Death Table 3
Injury & Violence 4
Tobacco use 4
Physical Activity, Wellness & Diabetes 4
Inside this issue:
State of the County’s
Health Report
O K L A H O M A S T A T E
D E P A R T M E N T O F H E A L T H
Alfalfa County
A Look Back To Move Forward
Teen Pregnancy 5
Poverty 5
OK By One—State Immunization Data 6
County Health Department Usage 7
Health Care Costs Summary 7
Turning Point 8
The state of Oklahoma has been in a downward health trend
since the 1990’s, until recently. Through the efforts of the state
and county health departments, state and local governments
and the individual communities the health of Oklahomans is
looking up. However, we could do more to improve the health
of the citizens of Oklahoma.
This report focuses on the health factors for the citizens of Al-falfa
County. We will take a look back to discover what has
been affecting the health of the citizens in order to move for-ward
and make healthy, effective and safe changes for all.
Demographics
Top 10 Leading Causes of Death
* Vital Statistics, Health Care
Information Systems, OSDH &
Centers for Disease Control
costs are reflecting this downward spi-ral
of health. For persons under the age
of 65, on average, health care costs are
$395 more for obese individuals and
are even greater for persons over the
age of 65.
In 2001-2005, 3% (103) of people in
Alfalfa County were considered obese
which accounted for an additional in
medical costs for the county. These
costs are underestimated because they
With the United States coming in as the
most obese country in the world, health
care costs related to obesity and poor
nutrition are on the rise.
Of the 292 million people in the United
States, 129 million are overweight or
obese according to their body mass in-dex
(BMI). The number of obese (BMI
> 29) and overweight (BMI 25-29) Ok-lahomans
has been increasing at the
same rate as the nation, and health care
do not take into account the percentage
of obese or overweight persons who are
over the age of 65.
Page 2
Nutrition and Obesity
still the leading cause
of death among all age
groups. According to
the Centers for Disease
Control, almost
$400,000 is spent on
each heart disease-related
death. With an
average of 30.1 deaths
a year, heart disease
accounts for over $11
million a year in medical costs in
The top 10 leading causes of death
table on the next page displays a
broad picture of the causes of death
in Alfalfa County. Since many
health-related issues are unique to
specific ages, this table provides
causes of death by age group at a
glance. The causes of death that are
present across almost every age
group have been highlighted. From
1983 to 1993 heart disease killed
432 people in Alfalfa County and is
STATE OF THE COUNTY’S HEALTH REPORT
Sensible Foods — Sensible
Portions
5 to 9 Fruits & Vegetables
a Day
* Behavioral Risk Factor Surveillance Sys-tem,
Health Care Information System, OSDH
& Health Affairs Journal, R. Strum, 2002
* U.S. Census Bureau
• Population estimates
o 5% decrease from 1990 to 2000
(6,416 to 6,105)
o 5% decrease from 2000 to 2004
o Ranked 68th for growth in state
2000 Census
• Hispanic/Latino ethnicity = 3%
• Race
o Whites = 89%
o Native Americans =3%
o Blacks =4%
o Other/Multiple = 4%
• Age
o Under 5 = 5%
o Over 64 = 20%
o Median age = 42.3 years
• Housing units
o Occupied = 2,199 (78%)
o Vacant = 633 (22%)
• Disability (ages 21 to 64) = 18.2%
national = 19.2% state = 21.5%
• Individuals below poverty = 13.7%
national = 12.4% state = 14.7%
Alfalfa County Population Growth with Projections
5,400
5,500
5,600
5,700
5,800
5,900
6,000
6,100
6,200
6,300
6,400
6,500
1990
1991992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002003
2004
2005
2010
2015
2020
2025
2030
Year
County Population
0.00%
0.05%
0.10%
0.15%
0.20%
0.25%
Percent of State
Population
Alfalfa Percent of Population
Alfalfa County.
Alzheimer’s disease and the
complications associated
with it have decreased from
the 11th ranked cause of
death (1983-1993) to the
14th ranked cause of death in
persons 65 and older ac-counting
for a 57% decrease
in deaths.
Heart disease
accounts for over
$11 million a year
in medical costs in
Alfalfa County.
No Data Available At This Time
ALFALFA COUNTY Page 3
Rank 0-4 05-14 15-24 25-34 35-44 45-54 55-64 65+ All Ages
UNINTENT.
INJURY
UNINTENT.
INJURY
UNINTENT.
INJURY
SUICIDE CANCER
HEART
DISEASE
HEART
DISEASE
HEART
DISEASE
HEART
DISEASE
4 2 5 4 3 10 31 287 332
HEART
DISEASE
HEART
DISEASE
HEART
DISEASE
HIV SUICIDE CANCER CANCER CANCER CANCER
1 1 1 2 2 8 17 136 164
PERINATAL
PERIOD
SUICIDE
CONGENITAL
ANOMALIES
UNINTENT.
INJURY
UNINTENT.
INJURY
BRONCHITIS/
EMPHYSEMA/
ASTHMA
STROKE STROKE
1 1 1 2 5 6 71 74
OTHER
UNINTENT.
INJURY
DIABETES
MELLITUS
DIABETES
MELLITUS
UNINTENT.
INJURY
INFLUENZA/
PNEUMONIA
INFLUENZA/
PNEUMONIA
1 1 1 2 5 58 60
OTHER
INFLUENZA/
PNEUMONIA
VIRAL
HEPATITIS
STROKE
BRONCHITIS/
EMPHYSEMA/
ASTHMA
BRONCHITIS/
EMPHYSEMA/
ASTHMA
1 1 2 2 35 41
OTHER STROKE
DIABETES
MELLITUS
DIABETES
MELLITUS
UNINTENT.
INJURY
1 1 2 20 40
LIVER DISEASE
SEPTICEMIA
(BLOOD
POISONING)
KIDNEY
DISEASE
DIABETES
MELLITUS
1 2 17 25
OTHER
INFLUENZA/
PNEUMONIA
UNINTENT.
INJURY
KIDNEY
DISEASE
2 1 16 18
LIVER DISEASE
ATHERO-SCLEROSIS
ATHERO-SCLEROSIS
1 12 12
OTHER PNEUMONITIS
TWO CAUSES
TIED
7 12 12
Data source: Vital Statistics , Health Care Information Division, O klahoma State Department of Health
Produced by: Community Development Service, Community Health Services, O klahoma State Department of Health
Top 10 Causes of Death by Age Group
Alfalfa County 1993-2003
5
6
1
2
3
4
9
10
7
8
and suicide) in Alfalfa County are ranked
in the top 10 in three of the eight age
groups (see Top 10 list on page 3).
the community as a whole. With health
care costs on the rise, targeting areas
such as tobacco use is an effective way
to control those costs.
In 2002, the CDC estimated that a per-son
that used tobacco accrued over
$3,300 in health care costs per year.
According to the Behavioral Risk Fac-tor
Surveillance System, it is estimated
that n/a% ( ) of people in Alfalfa County
use tobacco of some sort. Medical costs
accumulated by those persons are
According to the 2005 State of the
State’s Health Report, tobacco use
among Oklahomans has remained
fairly stable from 1990 to 2002.
Oklahoma has been consistently
higher in its tobacco use than the
nation and is 30% higher than the
nation on the amount of tobacco
consumed per capita (103 packs vs.
79 packs).
Tobacco use is no longer just the
problem of the individual but also
Across the nation and the state of
Oklahoma, unintentional and violence-related
injuries are on the rise. Unin-tentional
injuries account for the 4th
leading cause of death in the United
States and the 5th leading cause of
death in Oklahoma from 1999-2002.
For persons ages 1 to 44 in Oklahoma,
unintentional injuries are the leading
cause of death.
This trend does not change much in
Alfalfa County. Unintentional injuries
are the leading cause of death from
ages 5 to 24.
It is estimated that for every motor ve-hicle-
related death $1.1 million in eco-nomic
costs are incurred. For Alfalfa
County which has an average of 1.2
motor vehicle-related deaths a year,
that translates to over $1 million a
year.
Violence-related injuries (homicide
The increasing inactivity of the U.S.
population is contributing to an increase
in numerous poor health-related out-comes.
Physical inactivity robs the body
of precious energy needed to function
properly, in turn health declines and rates
of various chronic diseases escalate.
According to the 2002-2004 Behavioral
Risk Factor Surveillance System
(BRFSS), it is estimated that n/a%
(#VALUE!) of people in Alfalfa County
Page 4
Tobacco Use
Injury and Violence
Physical Activity, Wellness and Diabetes
STATE OF THE COUNTY’S HEALTH REPORT
* Vital Statistics, Health Care
Information Systems, OSDH &
Centers for Disease Control
* Vital Statistics, Health Care
Information Systems, OSDH &
National Safety Council
* Behavioral Risk Factor Surveil-lance
System, Health Care Infor-mation
System, OSDH & Ameri-
#VALUE! $ million a year for Alfalfa
County.
“Medical costs
accumulated by those
persons are #VALUE! $
million a year for Alfalfa
County”
had no leisure activity in the past falfa County.
month at the time they were surveyed.
The BRFSS also indicated that n/a% ( )
of Alfalfa County citizens have been
diagnosed by a health professional as
having diabetes. In 2002, the per capita
annual healthcare costs for people with
diabetes was $13,243 compared to
$2,560 for people without diabetes.
Persons with diabetes accumulated
health care costs of in one year for Al-
Increase activity gradually.
Moderate exercise for 30
minutes 5 days a week.
Injury and Violence-Related Deaths in
Alfalfa County, 1999 - 2003
0
0.5
1
1.5
2
2.5
1999 2000 2001 2002 2003
Year of Death
Number of Deaths
FIRES/BURNS MVC POISONINGS SUICIDE
No Data Available At This Time
No Data Available At This Time
*No homicides/legal intervention or poisoning deaths occurred during this time period
While births to teen mothers (age 15 to
19) are on the decline in both the U.S.
and Oklahoma, Oklahoma has moved
up in rank from 13th to 8th in the
country. In 1993 the rate of teen births
was 60.0 (per 1,000 15-19 year old
females) in the U.S. and 66.6 in
Oklahoma. In 2003, the rate de-creased
to 41.7 in the U.S. and
55.8 in Oklahoma, a decrease of
Page 5
Teen Pregnancy
* Sawhill V., Policy Brief #8, The Brookings Institute; Vi-tal
Statistics, Health Care Information Systems, OSDH &
National Vital Statistics, Centers for Disease Control
ALFALFA COUNTY
Rate of Live Births to Teen Mothers, Ages 15-19,
Alfalfa County, 1993 to 2003
0
10
20
30
40
50
60
70
80
1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003
Year
Rate per 1,000 15-19 year old
females
*2003 U.S. data is preliminary Alfalfa Oklahoma U.S.*
As the nation advances in tech-nology
and the ability to detect
and prevent disease at an ear-lier
stage, persons that are im-poverished
carry a large burden
of poor health outcomes.
Higher incidences of un-planned
or unwanted pregnan-cies,
teen pregnancy, inade-quate
prenatal care, higher rates of
low-birth-weight babies, infant
deaths and low immunization rates
are all associated with poverty
along with a myriad of other ad-verse
health outcomes.
According to the 2000 census,
13.7% of persons in Alfalfa County
for whom poverty status was
known had an income below what
was needed to live at the federal
poverty level. Alfalfa County is
7% below the state (14.7%) and
11% above the nation (12.4%)
for persons with incomes below
the federal poverty level.
Poverty * U.S. Census Bureau
31% and 7%, respectively.
Children of teen mothers are more likely
to display poor health and social outcomes
than those of older mothers, such as pre-mature
birth, low birth weight, higher
rates of abuse and neglect, and more likely
to go to foster care or do poorly in school.
Additionally, births to teen mothers accu-mulate
$3,200 a year for each teenage
birth, which is passed on to citizens.
According to Oklahoma Vital Statistics,
Alfalfa County had a teen birth rate of
42.6 in 2003 which was a 20% increase
from 2002 (35.5) and a 82% increase since
1993 (23.4).
With an average of 6 births per year, teen
pregnancy costs the citizens of Alfalfa
County $19,200.00 a year.
Note: births to a mother 10-14 years of age occurred during the 11 year period.
Poverty level Total 50% below 51% to 99%
below
poverty level to
149% above
150% to 199%
above
200% and
above
Population
5,028 178 512 722 696 2,920
Cumulative Population
178 690 1,412 2,108 5,028
% of Total
100.0% 3.5% 10.2% 14.4% 13.8% 58.1%
Cumulative %
3.5% 13.7% 28.1% 41.9% 100.0%
Income to Poverty Ratio, Alfalfa County, 2000 Census
Unstable Rate
Page 6 STATE OF THE COUNTY HEALTH REPORT
OK By One - State Immunization Data * 2 Year-old Immunization Sur-vey,
Immunization Service, OSDH
4:3:1:3:3 Coverage by Location of Shots, Oklahoma, 2004
64.0 66.5 64.1
69.7
0.0
10.0
20.0
30.0
40.0
50.0
60.0
70.0
80.0
Provider Type
Percent
Health Dept
Priv Dr.
IHS/Tribal
Other
Adair
Alfalfa
Atoka
Beaver
Beckham
Blaine
Bryan
Caddo
Canadian
Carter
Cherokee
Choctaw
Cimarron
Cleveland
Coal
Comanche
Cotton
Craig
Creek
Custer
Delaware
Dewey
Ellis
Garfield
Garvin
Grady
Grant
Greer
Harmon
Harper
Haskell
Hughes
Jackson
Jefferson
Johnston
Kay
Kingfisher
Kiowa
Latimer
Le Flore
Lincoln
Logan
Love
McClain
McCurtain
MacIntosh
Major
Marshall
Mayes
Murray
Muskogee
Noble
Nowata
Oklahoma Okfuskee
Okmulgee
Osage
Ottawa
Pawnee
Payne
Pittsburg
Pontotoc
Pottawatomie
Pushmataha
Roger Mills
Rogers
Seminole
Sequoyah
Stephens
Texas
Tillman
Tulsa
Wagoner
Washington
Washita
Woods
Woodward
2003-04 Immunization Coverage Rates
80%
70-79%
66-69%
60-65%
50-59%
<50%
Oklahoma Children On Schedule by Antigen, 2004
0
20
40
60
80
100
2 Mth 4 Mth 6 Mth 12 Mth 15-18
Mth
24 Mth
Age Percent
DTaP
IPV
MMR
Hib
HepB
**Note: County level
data will be available
soon.
ALFALFA COUNTY
Motor Vehicle-Related Injury Death
• Average 1.2 deaths per year
• $1,120,000.00 in economic costs
per death
• Total—$1,344,000.00 a year
Tobacco Use
• Data Not Available At This Time
Diabetes
• Data Not Available At This Time
Teen Pregnancy
• Average of 6 births to teen mothers
per year
• $3,200.00 in costs for each birth a
year
• Total— $19,200.00 a year
Cardiovascular Disease (Heart Disease)
• Average 30 deaths a year
• $369,476.69 per death
• Total— $11,084,300.70 a year
Obesity
• Data Not Available At This Time
Page 7
Health Care Costs Summary
County Health Department Usage * PHOCIS, Community
Health Services, OSDH
Grand Total for Alfalfa County:
$12,447,500.70
Health Departments Services Received by Alfalfa County Residents
by County Health Department, State Fiscal Year 05
0%
20%
40%
60%
80%
100%
Adult Services Child Health Early Intervention Family Planning STD Tuberculosis
Health Department Service
Percent of Visits
Garfield Grant Major Woods
Community Health Services
Community Development Service
OKLAHOMA STATE
DEPARTMENT OF
HEALTH
Looking Back to Move
Forward
Report compiled by:
Miriam McGaugh, M.S.
Community Development Service, OSDH
Kelly Baker, MPH
Health Care Information Systems, OSDH
The Oklahoma Turning Point Initiative is public health
improvement in action. The success of the Turning
Point process involves a partnership between the state
and county departments of health, local communities,
and policy-makers. The Oklahoma Turning point en-gine
is fueled by a community-based decision making
process whereby local communities tap into the ca-pacities,
strengths, and vision of their citizens to create
and promote positive, sustainable changes in the pub-lic
health system, and the public’s health.
Oklahoma Community Partners
in P ublic H ealth In novation
Page 8 STATE OF THE COUNTY’S HEALTH REPORT
1000 NE 10th St, Room 508
Oklahoma City, OK 73117
Phone: 405-271-6127
Fax: 405-271-1225
Email: miriamm@health.ok.gov
Atoka County
County Demographics 2
Top 10 Leading Causes of Death 2
Nutrition & Obesity 2
Top 10 Leading Causes of Death Table 3
Injury & Violence 4
Tobacco use 4
Physical Activity, Wellness & Diabetes 4
Inside this issue:
State of the County’s
Health Report
O K L A H O M A S T A T E
D E P A R T M E N T O F H E A L T H
Atoka County
A Look Back To Move Forward
Teen Pregnancy 5
Poverty 5
OK By One—State Immunization Data 6
County Health Department Usage 7
Health Care Costs Summary 7
Turning Point 8
The state of Oklahoma has been in a downward health trend
since the 1990’s, until recently. Through the efforts of the state
and county health departments, state and local governments
and the individual communities the health of Oklahomans is
looking up. However, we could do more to improve the health
of the citizens of Oklahoma.
This report focuses on the health factors for the citizens of
Atoka County. We will take a look back to discover what has
been affecting the health of the citizens in order to move for-ward
and make healthy, effective and safe changes for all.
Demographics
Top 10 Leading Causes of Death
* Vital Statistics, Health Care
Information Systems, OSDH &
Centers for Disease Control
same rate as the nation, and
health care costs are reflecting
this downward spiral of
health. For persons under the
age of 65, on average, health
care costs are $395 more for
obese individuals and are
even greater for persons
over the age of 65.
In 2002-2004, 20.1%
With the United States coming in as the
most obese country in the world, health
care costs related to obesity and poor
nutrition are on the rise.
Of the 292 million people in the United
States, 129 million are overweight or
obese according to their body mass in-dex
(BMI). The number of obese (BMI
> 29) and overweight (BMI 25-29) Ok-lahomans
has been increasing at the
( 2,843 ) of people in Atoka
County were considered obese
which accounted for an addi-tional
$1,122,985 in medical
costs for the county. These costs
are underestimated because they
do not take into account
the percentage of obese or
overweight persons who
are over the age of 65.
Page 2
Nutrition and Obesity
still the leading cause
of death among all age
groups. According the
Centers for Disease
Control, almost
$400,000 is spent on
each heart disease-related
death. With an
average of 56.4 deaths
a year, heart disease
accounts for almost
$21 million a year in medical costs
The top 10 leading causes of death
table on the next page displays a
broad picture of the causes of death
in Atoka County. Since many
health-related issues are unique to
specific ages, this table provides
causes of death by age group at a
glance. The causes of death that are
present across almost every age
group have been highlighted. From
1983 to 1993 heart disease killed
694 people in Atoka County and is
STATE OF THE COUNTY’S HEALTH REPORT
Sensible Foods — Sensible
Portions
5 to 9 Fruits & Vegetables
a Day
* Behavioral Risk Factor Surveillance Sys-tem,
Health Care Information System, OSDH
& Health Affairs Journal, R. Strum, 2002
* U.S. Census Bureau
• Population estimates
o 9% increase from 1990 to 2000
(12,778 to 13,879)
o 3% increase from 2000 to 2004
o Ranked 17th for growth in state
2000 Census
• Hispanic/Latino ethnicity = 1%
• Race
o Whites = 76%
o Native Americans =11%
o Blacks =6%
o Other/Multiple = 7%
• Age
o Under 5 = 6%
o Over 64 = 15%
o Median age = 38.3 years
• Housing units
o Occupied = 4,964 (88%)
o Vacant = 709 (12%)
• Disability (ages 21 to 64) = 25.8%
national = 19.2% state = 21.5%
• Individuals below poverty = 19.8%
national = 12.4% state = 14.7%
Atoka County Population Growth with Projections
0
5,000
10,000
15,000
20,000
25,000
1990
1991992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002003
2004
2005
2010
2015
2020
2025
2030
Year
County Population
0.37%
0.38%
0.39%
0.40%
0.41%
0.42%
0.43%
0.44%
0.45%
0.46%
0.47%
Percent of State
Population
Atoka Percent of Population
in Atoka County.
Alzheimer’s disease and
the complications associ-ated
with it have increased
from the 18th ranked cause
of death (1983-1993) to
the 10th ranked cause of
death in persons 65 and
older accounting for a
900% increase in deaths.
Heart disease
accounts for almost
$21 million a year in
medical costs in
Atoka County.
ATOKA COUNTY Page 3
Rank 0-4 05-14 15-24 25-34 35-44 45-54 55-64 65+ All Ages
CONGENITAL
ANOMALIES
UNINTENT.
INJURY
UNINTENT.
INJURY
UNINTENT.
INJURY
UNINTENT.
INJURY
HEART
DISEASE
HEART
DISEASE
HEART
DISEASE
HEART
DISEASE
5 4 15 14 15 28 66 514 620
PERINATAL
PERIOD
BRONCHITIS/
EMPHYSEMA/
ASTHMA
HEART
DISEASE
SUICIDE
HEART
DISEASE
CANCER CANCER CANCER CANCER
5 1 1 6 7 15 61 235 321
SIDS
PERINATAL
PERIOD
HOMICIDE/
LEGAL
HEART
DISEASE
CANCER
UNINTENT.
INJURY
BRONCHITIS/
EMPHYSEMA/
ASTHMA
INFLUENZA/
PNEUMONIA
STROKE
3 1 1 4 7 8 12 78 90
UNINTENT.
INJURY
SUICIDE CANCER SUICIDE LIVER DISEASE STROKE STROKE
UNINTENT.
INJURY
1 1 3 5 7 12 75 87
OTHER LIVER DISEASE LIVER DISEASE SUICIDE
UNINTENT.
INJURY
BRONCHITIS/
EMPHYSEMA/
ASTHMA
INFLUENZA/
PNEUMONIA
6 2 3 5 10 53 83
HOMICIDE/
LEGAL
HOMICIDE/
LEGAL
STROKE LIVER DISEASE
DIABETES
MELLITUS
BRONCHITIS/
EMPHYSEMA/
ASTHMA
1 2 3 4 30 67
INFLUENZA/
PNEUMONIA
DIABETES
MELLITUS
DIABETES
MELLITUS
KIDNEY
DISEASE
KIDNEY
DISEASE
DIABETES
MELLITUS
1 1 3 4 30 35
OTHER
INFLUENZA/
PNEUMONIA
BRONCHITIS/
EMPHYSEMA/
ASTHMA
SUICIDE
SEPTICEMIA
(BLOOD
POISONING)
KIDNEY
DISEASE
5 1 1 3 20 35
OTHER HIV
INFLUENZA/
PNEUMONIA
UNINTENT.
INJURY
LIVER DISEASE
8 1 2 20 26
FOUR CAUSES
TIED
THREE CAUSES
TIED
ALZHEIMER'S
DISEASE
SUICIDE
1 1 10 23
Data source: Vital Statistics , Health Care Information Division, O klahoma State Department of Health
Produced by: Community Development Service, Community Health Services, O klahoma State Department of Health
Top 10 Causes of Death by Age Group
Atoka County 1993-2003
5
6
1
2
3
4
9
10
7
8
and suicide) in Atoka County are ranked in
the top 10 in five of the eight age groups
(see Top 10 list on page 3).
problem of the individual but also the
community as a whole. With health
care costs on the rise, tar-geting
areas such as tobacco
use is an effective way to
control those costs.
In 2002, the CDC estimated
that a person that used to-bacco
accrued over $3,300
in health care costs per
year. According to the Be-
According to the 2005 State of the
State’s Health Report, tobacco use
among Oklahomans has remained
fairly stable from 1990 to 2002.
Oklahoma has been consistently
higher in its tobacco use than the
nation and is 30% higher than the
nation on the amount of tobacco
consumed per capita (103 packs vs.
79 packs).
Tobacco use is no longer just the
Across the nation and the state of
Oklahoma, unintentional and violence-related
injuries are on the rise. Unin-tentional
injuries account for the 4th
leading cause of death in the United
States and the 5th leading cause of
death in Oklahoma from 1999-2002.
For persons ages 1 to 44 in Oklahoma,
unintentional injuries are the leading
cause of death.
This trend does not change much in
Atoka County. Unintentional injuries
are the leading cause of death from
ages 5 to 44.
It is estimated that for every motor ve-hicle-
related death $1.1 million in eco-nomic
costs are incurred. For Atoka
County which has an average of 4.4
motor vehicle-related deaths a year,
that translates to almost $5 million
a year.
Violence-related injuries (homicide
The increasing inactivity of the U.S.
population is contributing to an increase
in numerous poor health-related out-comes.
Physical inactivity robs the body
of precious energy needed to function
properly, in turn health declines and rates
of various chronic diseases escalate.
According to the 2002-2004 Behavioral
Risk Factor Surveillance System
(BRFSS), it is estimated that 33.8%
Page 4
Tobacco Use
Injury and Violence
Physical Activity, Wellness and Diabetes
STATE OF THE COUNTY’S HEALTH REPORT
* Vital Statistics, Health Care
Information Systems, OSDH &
Centers for Disease Control
* Vital Statistics, Health Care
Information Systems, OSDH &
National Safety Council
* Behavioral Risk Factor Surveil-lance
System, Health Care Infor-mation
System, OSDH & Ameri-can
Diabetes Association, 2002
havioral Risk Factor Surveillance Sys-tem,
it is estimated that 31.6% (4,469)
of people in Atoka
County use tobacco of
some sort. Medical
costs accumulated by
those persons are al-most
$15 million a
year for Atoka
County.
“Medical costs
accumulated by those
persons are almost $15
million a year for Atoka
County”
tes. In 2002, the per capita
annual healthcare costs for
people with diabetes was
$13,243 compared to $2,560
for people without diabetes.
Persons with diabetes accumu-lated
health care costs of
$14,421,627.00 in one year for
Atoka County.
(4,780 ) of people in Atoka
County had no leisure ac-tivity
in the past month at
the time they were sur-veyed.
The BRFSS also indicated
that 7.7% (1,089 ) of Atoka
County citizens have been
diagnosed by a health pro-fessional
as having diabe-
Increase activity gradually.
Moderate exercise for 30
minutes 5 days a week.
Injury and Violence-Related Deaths in
Atoka County, 1999 - 2003
0
1
2
3
4
5
6
7
1999 2000 2001 2002 2003
Year of Death
Number of Deaths
DROWNING FALLS FIRES/BURNS HOMICIDE
MVC POISONINGS SUICIDE
While births to teen mothers (age 15 to
19) are on the decline in both the U.S.
and Oklahoma, Oklahoma has moved
up in rank from 13th to 8th in the
country. In 1993 the rate of teen births
was 60.0 (per 1,000 15-19 year old
females) in the U.S. and 66.6 in
Oklahoma. In 2003, the rate de-creased
to 41.7 in the U.S. and
55.8 in Oklahoma, a decrease of
Page 5
Teen Pregnancy
* Sawhill V., Policy Brief #8, The Brookings Institute; Vi-tal
Statistics, Health Care Information Systems, OSDH &
National Vital Statistics, Centers for Disease Control
ATOKA COUNTY
Rate of Live Births to Teen Mothers, Ages 15-19,
Atoka County, 1993 to 2003
0
20
40
60
80
100
1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003
Year
Rate per 1,000 15-19 year old
females
*2003 U.S. data is preliminary Atoka Oklahoma U.S.*
As the nation advances in tech-nology
and the ability to detect
and prevent disease at an ear-lier
stage, persons that are im-poverished
carry a large burden
of poor health outcomes.
Higher incidences of un-planned
or unwanted pregnan-cies,
teen pregnancy, inade-quate
prenatal care, higher rates of
low-birth-weight babies, infant
deaths and low immunization rates
are all associated with poverty
along with a myriad of other ad-verse
health outcomes.
According to the 2000 census,
19.8% of persons in Atoka County
for whom poverty status was
known had an income below what
was needed to live at the federal
poverty level. Atoka County is
34% above the state (14.7%) and
59% above the nation (12.4%)
for persons with incomes below
the federal poverty level.
Poverty * U.S. Census Bureau
31% and 7%, respectively.
Children of teen mothers are more likely
to display poor health and social outcomes
than those of older mothers, such as pre-mature
birth, low birth weight, higher
rates of abuse and neglect, and more likely
to go to foster care or do poorly in school.
Additionally, births to teen mothers accu-mulate
$3,200 a year for each teenage
birth, which is passed on to citizens.
According to Oklahoma Vital Statistics,
Atoka County had a teen birth rate of 50.1
in 2003 which was a 41% decrease from
2002 (84.4) and a 33% decrease since
1993 (74.4).
With an average of 29 births per year, teen
pregnancy costs the citizens of Atoka
County $92,800.00 a year.
Note: 4 births to a mother 10-14 years of age occurred during the 11 year period.
Poverty level Total 50% below 51% to 99%
below
poverty level to
149% above
150% to 199%
above
200% and
above
Population
12,282 1,018 1,408 2,147 1,534 6,175
Cumulative Population
1,018 2,426 4,573 6,107 12,282
% of Total
100.0% 8.3% 11.5% 17.5% 12.5% 50.3%
Cumulative %
8.3% 19.8% 37.2% 49.7% 100.0%
Income to Poverty Ratio, Atoka County, 2000 Census
Page 6 STATE OF THE COUNTY HEALTH REPORT
OK By One - State Immunization Data * 2 Year-old Immunization Sur-vey,
Immunization Service, OSDH
4:3:1:3:3 Coverage by Location of Shots, Oklahoma, 2004
64.0 66.5 64.1
69.7
0.0
10.0
20.0
30.0
40.0
50.0
60.0
70.0
80.0
Provider Type
Percent
Health Dept
Priv Dr.
IHS/Tribal
Other
Adair
Alfalfa
Atoka
Beaver
Beckham
Blaine
Bryan
Caddo
Canadian
Carter
Cherokee
Choctaw
Cimarron
Cleveland
Coal
Comanche
Cotton
Craig
Creek
Custer
Delaware
Dewey
Ellis
Garfield
Garvin
Grady
Grant
Greer
Harmon
Harper
Haskell
Hughes
Jackson
Jefferson
Johnston
Kay
Kingfisher
Kiowa
Latimer
Le Flore
Lincoln
Logan
Love
McClain
McCurtain
MacIntosh
Major
Marshall
Mayes
Murray
Muskogee
Noble
Nowata
Oklahoma Okfuskee
Okmulgee
Osage
Ottawa
Pawnee
Payne
Pittsburg
Pontotoc
Pottawatomie
Pushmataha
Roger Mills
Rogers
Seminole
Sequoyah
Stephens
Texas
Tillman
Tulsa
Wagoner
Washington
Washita
Woods
Woodward
2003-04 Immunization Coverage Rates
80%
70-79%
66-69%
60-65%
50-59%
<50%
Oklahoma Children On Schedule by Antigen, 2004
0
20
40
60
80
100
2 Mth 4 Mth 6 Mth 12 Mth 15-18
Mth
24 Mth
Age Percent
DTaP
IPV
MMR
Hib
HepB
**Note: County level
data will be available
soon.
ATOKA COUNTY
Motor Vehicle-Related Injury Death
• Average 4.4 deaths per year
• $1,120,000.00 in economic costs
per death
• Total—$4,928,000.00 a year
Tobacco Use
• 31.6% of population (4,469)
• $3,300.00 in health care costs
• Total—$14,747,700.00 a year
Diabetes
• 7.7% of population (1,089 )
• $13,243.00 in healthcare costs a year
• Total—$14,421,627.00 a year
Teen Pregnancy
• Average of 29 births to teen mothers
per year
• $3,200.00 in costs for each birth a
year
• Total— $92,800.00 a year
Cardiovascular Disease (Heart Disease)
• Average 56 deaths a year
• $369,476.69 per death
• Total— $20,690,694.64 a year
Obesity
• 20.1% of population ( 2,843 )
• $395.00 in additional medical costs
per person
• Total—$1,122,985.00
Page 7
Health Care Costs Summary
County Health Department Usage * PHOCIS, Community
Health Services, OSDH
Grand Total for Atoka County:
$56,003,806.64
Attended Appointments for Atoka County Health Department,
State Fiscal Year 05
Immunizations
WIC
Family Planning
General
Child Health
Children First Dysplasia
Tuberculosis
STD
Communicable Disease
Chronic Disease
Take Charge!
Adult Services
The Oklahoma Turning Point Initiative is public health
improvement in action. The success of the Turning
Point process involves a partnership between the state
and county departments of health, local communities,
and policy-makers. The Oklahoma Turning point en-gine
is fueled by a community-based decision making
process whereby local communities tap into the ca-pacities,
strengths, and vision of their citizens to create
and promote positive, sustainable changes in the pub-lic
health system, and the public’s health.
Community Health Services
Community Development Service
OKLAHOMA STATE
DEPARTMENT OF HEALTH
Looking Back to Move Forward
Report compiled by:
Miriam McGaugh, M.S.
Community Development Service, OSDH
Kelly Baker, MPH
Oklahoma Community Partners
in Public Health Innovation
Page 8 STATE OF THE COUNTY’S HEALTH REPORT
Atoka County Health Department
1006 W 13th St
Atoka, OK 74525
580-889-2116
Atoka & Coal Counties Partnership For Change Community Coalition
We want to thank all the people and organizations that make the Partnership for Change
Community Coalition successful. Thank you!
• American Cancer Society
• Atoka & Coalgate Chamber of Commerce
• Atoka Community Chest
• Atoka First Baptist Church
• Atoka/Coalgate Hospital
• Big Five Community Action Agency/Sorts Transit
• Choctaw Nation CORE Capacity/Healthy Life-styles/
Project CHILD
• Coal and Atoka County Health Departments
• Coal and Atoka County Public Schools
• Coalgate Register
• COALition
• Community members at large
• County Commissioners
• Department of Human Services
• Girl Scouts
1000 NE 10th St, Room 508
Oklahoma City, OK 73117
405-271-6127
Email: neilh@health.ok.gov
• Head Start
• INCA Community Action Agency/Jamm Transit
• Kiamichi Technology Center
• Oklahoma State Department of Health Turning Point
• Oklahoma State University Cooperative Extension
Service
• School Based Social Workers
• Senior Nutrition Center
• Southeast Oklahoma Division on Aging (SODA)
• Tri-County Indian Nations Community Development
Corporation
• USDA
• Women, Infants and Children (WIC)
• Youth
Beaver County
County Demographics 2
Top 10 Leading Causes of Death 2
Nutrition & Obesity 2
Top 10 Leading Causes of Death Table 3
Injury & Violence 4
Tobacco use 4
Physical Activity, Wellness & Diabetes 4
Inside this issue:
State of the County’s
Health Report
O K L A H O M A S T A T E
D E P A R T M E N T O F H E A L T H
Beaver County
A Look Back To Move Forward
Teen Pregnancy 5
Poverty 5
OK By One—State Immunization Data 6
County Health Department Usage 7
Health Care Costs Summary 7
Turning Point 8
The state of Oklahoma has been in a downward health trend
since the 1990’s, until recently. Through the efforts of the state
and county health departments, state and local governments
and the individual communities the health of Oklahomans is
looking up. However, we could do more to improve the health
of the citizens of Oklahoma.
This report focuses on the health factors for the citizens of Bea-ver
County. We will take a look back to discover what has
been affecting the health of the citizens in order to move for-ward
and make healthy, effective and safe changes for all.
Demographics
Top 10 Leading Causes of Death
* Vital Statistics, Health Care
Information Systems, OSDH &
Centers for Disease Control
same rate as the nation, and
health care costs are reflecting
this downward spiral of
health. For persons under the
age of 65, on average, health
care costs are $395 more for
obese individuals and are
even greater for persons
over the age of 65.
In 2002-2004, 33.7%
With the United States coming in as the
most obese country in the world, health
care costs related to obesity and poor
nutrition are on the rise.
Of the 292 million people in the United
States, 129 million are overweight or
obese according to their body mass in-dex
(BMI). The number of obese (BMI
> 29) and overweight (BMI 25-29) Ok-lahomans
has been increasing at the
( 1,881 ) of people in Beaver
County were considered obese
which accounted for an addi-tional
$742,995 in medical costs
for the county. These costs are
underestimated because they do
not take into account the
percentage of obese or
overweight persons who
are over the age of 65.
Page 2
Nutrition and Obesity
still the leading cause
of death among all age
groups. According the
Centers for Disease
Control, almost
$400,000 is spent on
each heart disease-related
death. With an
average of 17.6 deaths
a year, heart disease
accounts for almost $7
million a year in medical costs in
The top 10 leading causes of death
table on the next page displays a
broad picture of the causes of death
in Beaver County. Since many
health-related issues are unique to
specific ages, this table provides
causes of death by age group at a
glance. The causes of death that are
present across almost every age
group have been highlighted. From
1983 to 1993 heart disease killed
239 people in Beaver County and is
STATE OF THE COUNTY’S HEALTH REPORT
Sensible Foods — Sensible
Portions
5 to 9 Fruits & Vegetables
a Day
* Behavioral Risk Factor Surveillance Sys-tem,
Health Care Information System, OSDH
& Health Affairs Journal, R. Strum, 2002
* U.S. Census Bureau
• Population estimates
o 3% decrease from 1990 to 2000
(6,023 to 5,857)
o 6% decrease from 2000 to 2004
o Ranked 75th for growth in state
2000 Census
• Hispanic/Latino ethnicity = 11%
• Race
o Whites = 93%
o Native Americans =1%
o Blacks =0%
o Other/Multiple = 6%
• Age
o Under 5 = 6%
o Over 64 = 17%
o Median age = 39.3 years
• Housing units
o Occupied = 2,245 (83%)
o Vacant = 474 (17%)
• Disability (ages 21 to 64) = 15.1%
national = 19.2% state = 21.5%
• Individuals below poverty = 11.7%
national = 12.4% state = 14.7%
Beaver County Population Growth with Projections
5,200
5,300
5,400
5,500
5,600
5,700
5,800
5,900
6,000
6,100
6,200
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2010
2015
2020
2025
2030
Year
County Population
0.00%
0.05%
0.10%
0.15%
0.20%
0.25%
Percent of State
Population
Beaver Percent of Population
Beaver County.
Alzheimer’s disease and
the complications associ-ated
with it have increased
from the 14th ranked cause
of death (1983-1993) to
the 9th ranked cause of
death in persons 65 and
older accounting for a
300% increase in deaths.
Heart disease
accounts for almost
$7 million a year in
medical costs in
Beaver County.
BEAVER COUNTY Page 3
Rank 0-4 05-14 15-24 25-34 35-44 45-54 55-64 65+ All Ages
PERINATAL
PERIOD
SUICIDE
UNINTENT.
INJURY
UNINTENT.
INJURY
UNINTENT.
INJURY
CANCER
HEART
DISEASE
HEART
DISEASE
HEART
DISEASE
3 2 8 3 5 10 17 167 195
CONGENITAL
ANOMALIES
OTHER STROKE SUICIDE
HEART
DISEASE
UNINTENT.
INJURY
CANCER CANCER CANCER
1 1 2 2 2 10 12 112 137
CANCER OTHER CANCER
HEART
DISEASE
NON-CANCEROUS
TUMOR
ATHERO-SCLEROSIS
UNINTENT.
INJURY
1 1 2 8 3 35 42
BRONCHITIS/
EMPHYSEMA/
ASTHMA
DIABETES
MELLITUS
BRONCHITIS/
EMPHYSEMA/
ASTHMA
STROKE STROKE
1 2 3 32 36
LIVER DISEASE
NON-CANCEROUS
TUMOR
DIABETES
MELLITUS
BRONCHITIS/
EMPHYSEMA/
ASTHMA
ATHERO-SCLEROSIS
1 1 3 24 35
NUTRITIONAL
DEFICIENCY
BRONCHITIS/
EMPHYSEMA/
ASTHMA
STROKE
DIABETES
MELLITUS
BRONCHITIS/
EMPHYSEMA/
ASTHMA
1 1 2 20 29
OTHER LIVER DISEASE
INFLUENZA/
PNEUMONIA
UNINTENT.
INJURY
DIABETES
MELLITUS
1 1 2 14 25
NUTRITIONAL
DEFICIENCY
UNINTENT.
INJURY
INFLUENZA/
PNEUMONIA
INFLUENZA/
PNEUMONIA
1 2 13 15
SUICIDE HYPERTENSION
ALZHEIMER'S
DISEASE
ALZHEIMER'S
DISEASE
1 1 12 12
OTHER OTHER
TWO CAUSES
TIED
SUICIDE
3 3 5 10
Data source: Vital Statistics , Health Care Information Division, Oklahoma State Department of Health
Produced by: Community Development Service, Community Health Services, Oklahoma State Department of Health
Top 10 Causes of Death by Age Group
Beaver County 1993-2003
5
6
1
2
3
4
9
10
7
8
and suicide) in Beaver County are ranked
in the top 10 in three of the eight age
groups (see Top 10 list on page 3).
problem of the individual but also the
community as a whole. With health
care costs on the rise, tar-geting
areas such as tobacco
use is an effective way to
control those costs.
In 2002, the CDC estimated
that a person that used to-bacco
accrued over $3,300
in health care costs per
year. According to the Be-
According to the 2005 State of the
State’s Health Report, tobacco use
among Oklahomans has remained
fairly stable from 1990 to 2002.
Oklahoma has been consistently
higher in its tobacco use than the
nation and is 30% higher than the
nation on the amount of tobacco
consumed per capita (103 packs vs.
79 packs).
Tobacco use is no longer just the
Across the nation and the state of
Oklahoma, unintentional and violence-related
injuries are on the rise. Unin-tentional
injuries account for the 4th
leading cause of death in the United
States and the 5th leading cause of
death in Oklahoma from 1999-2002.
For persons ages 1 to 44 in Oklahoma,
unintentional injuries are the leading
cause of death.
This trend does not change much in
Beaver County. Unintentional injuries
are the leading cause of death from
ages 15 to 44.
It is estimated that for every motor ve-hicle-
related death $1.1 million in eco-nomic
costs are incurred. For Beaver
County which has an average of 1.6
motor vehicle-related deaths a year,
that translates to almost $2 million
a year.
Violence-related injuries (homicide
The increasing inactivity of the U.S.
population is contributing to an increase
in numerous poor health-related out-comes.
Physical inactivity robs the body
of precious energy needed to function
properly, in turn health declines and rates
of various chronic diseases escalate.
According to the 2002-2004 Behavioral
Risk Factor Surveillance System
(BRFSS), it is estimated that 28.1%
Page 4
Tobacco Use
Injury and Violence
Physical Activity, Wellness and Diabetes
STATE OF THE COUNTY’S HEALTH REPORT
* Vital Statistics, Health Care
Information Systems, OSDH &
Centers for Disease Control
* Vital Statistics, Health Care
Information Systems, OSDH &
National Safety Council
* Behavioral Risk Factor Surveil-lance
System, Health Care Infor-mation
System, OSDH & Ameri-can
Diabetes Association, 2002
havioral Risk Factor Surveillance Sys-tem,
it is estimated that 22.3% (1,245)
of people in Beaver
County use tobacco of
some sort. Medical
costs accumulated by
those persons are over
$4 million a year for
Beaver County.
“Medical costs
accumulated by those
persons are over $4
million a year for Beaver
County”
tes. In 2002, the per capita
annual healthcare costs for
people with diabetes was
$13,243 compared to $2,560
for people without diabetes.
Persons with diabetes accumu-lated
health care costs of
$1,178,627.00 in one year for
Beaver County.
(1,569 ) of people in Beaver
County had no leisure ac-tivity
in the past month at
the time they were sur-veyed.
The BRFSS also indicated
that 1.6% (89 ) of Beaver
County citizens have been
diagnosed by a health pro-fessional
as having diabe-
Increase activity gradually.
Moderate exercise for 30
minutes 5 days a week.
Injury and Violence-Related Deaths in
Beaver County, 1999 - 2003
0
0.5
1
1.5
2
2.5
1999 2000 2001 2002 2003
Year of Death
Number of Deaths
DROWNING FALLS FIRES/BURNS MVC SUICIDE
While births to teen mothers (age 15 to
19) are on the decline in both the U.S.
and Oklahoma, Oklahoma has moved
up in rank from 13th to 8th in the
country. In 1993 the rate of teen births
was 60.0 (per 1,000 15-19 year old
females) in the U.S. and 66.6 in
Oklahoma. In 2003, the rate de-creased
to 41.7 in the U.S. and
55.8 in Oklahoma, a decrease of
Page 5
Teen Pregnancy
* Sawhill V., Policy Brief #8, The Brookings Institute; Vi-tal
Statistics, Health Care Information Systems, OSDH &
National Vital Statistics, Centers for Disease Control
BEAVER COUNTY
Rate of Live Births to Teen Mothers,Ages 15-19,
Beaver County, 1993 to 2003
0
10
20
30
40
50
60
70
80
1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003
Year
Rate per 1,000 15-19 year old
females
*2003 U.S. data is preliminary Beaver Oklahoma U.S.*
As the nation advances in tech-nology
and the ability to detect
and prevent disease at an ear-lier
stage, persons that are im-poverished
carry a large burden
of poor health outcomes.
Higher incidences of un-planned
or unwanted pregnan-cies,
teen pregnancy, inade-quate
prenatal care, higher rates of
low-birth-weight babies, infant
deaths and low immunization rates
are all associated with poverty
along with a myriad of other ad-verse
health outcomes.
According to the 2000 census,
11.7% of persons in Beaver County
for whom poverty status was
known had an income below what
was needed to live at the federal
poverty level. Beaver County is
20% below the state (14.7%) and
6% below the nation (12.4%) for
persons with incomes below the
federal poverty level.
Poverty * U.S. Census Bureau
31% and 7%, respectively.
Children of teen mothers are more likely
to display poor health and social outcomes
than those of older mothers, such as pre-mature
birth, low birth weight, higher
rates of abuse and neglect, and more likely
to go to foster care or do poorly in school.
Additionally, births to teen mothers accu-mulate
$3,200 a year for each teenage
birth, which is passed on to citizens.
According to Oklahoma Vital Statistics,
Beaver County had a teen birth rate of
41.2 in 2003 which was a 8% decrease
from 2002 (44.8) and a 19% increase since
1993 (34.5).
With an average of 9 births per year, teen
pregnancy costs the citizens of Beaver
County $28,800.00 a year.
Note: 1 births to a mother 10-14 years of age occurred during the 11 year period.
Poverty level Total 50% below 51% to 99%
below
poverty level to
149% above
150% to 199%
above
200% and
above
Population
5,748 226 447 606 574 3,895
Cumulative Population
226 673 1,279 1,853 5,748
% of Total
100.0% 3.9% 7.8% 10.5% 10.0% 67.8%
Cumulative %
3.9% 11.7% 22.3% 32.2% 100.0%
Income to Poverty Ratio, Beaver County, 2000 Census
Page 6 STATE OF THE COUNTY HEALTH REPORT
OK By One - State Immunization Data * 2 Year-old Immunization Sur-vey,
Immunization Service, OSDH
4:3:1:3:3 Coverage by Location of Shots, Oklahoma, 2004
64.0 66.5 64.1
69.7
0.0
10.0
20.0
30.0
40.0
50.0
60.0
70.0
80.0
Provider Type
Percent
Health Dept
Priv Dr.
IHS/Tribal
Other
Adair
Alfalfa
Atoka
Beaver
Beckham
Blaine
Bryan
Caddo
Canadian
Carter
Cherokee
Choctaw
Cimarron
Cleveland
Coal
Comanche
Cotton
Craig
Creek
Custer
Delaware
Dewey
Ellis
Garfield
Garvin
Grady
Grant
Greer
Harmon
Harper
Haskell
Hughes
Jackson
Jefferson
Johnston
Kay
Kingfisher
Kiowa
Latimer
Le Flore
Lincoln
Logan
Love
McClain
McCurtain
MacIntosh
Major
Marshall
Mayes
Murray
Muskogee
Noble
Nowata
Oklahoma Okfuskee
Okmulgee
Osage
Ottawa
Pawnee
Payne
Pittsburg
Pontotoc
Pottawatomie
Pushmataha
Roger Mills
Rogers
Seminole
Sequoyah
Stephens
Texas
Tillman
Tulsa
Wagoner
Washington
Washita
Woods
Woodward
2003-04 Immunization Coverage Rates
80%
70-79%
66-69%
60-65%
50-59%
<50%
Oklahoma Children On Schedule by Antigen, 2004
0
20
40
60
80
100
2 Mth 4 Mth 6 Mth 12 Mth 15-18
Mth
24 Mth
Age Percent
DTaP
IPV
MMR
Hib
HepB
**Note: County level
data will be available
soon.
BEAVER COUNTY
Motor Vehicle-Related Injury Death
• Average 1.6 deaths per year
• $1,120,000.00 in economic costs
per death
• Total—$1,792,000.00 a year
Tobacco Use
• 22.3% of population (1,245)
• $3,300.00 in health care costs
• Total—$4,108,500.00 a year
Diabetes
• 1.6% of population (89 )
• $13,243.00 in healthcare costs a year
• Total—$1,178,627.00 a year
Teen Pregnancy
• Average of 9 births to teen mothers
per year
• $3,200.00 in costs for each birth a
year
• Total— $28,800.00 a year
Cardiovascular Disease (Heart Disease)
• Average 18 deaths a year
• $369,476.69 per death
• Total— $6,650,580.42 a year
Obesity
• 33.7% of population ( 1,881 )
• $395.00 in additional medical costs
per person
• Total—$742,995.00
Page 7
Health Care Costs Summary
County Health Department Usage * PHOCIS, Community
Health Services, OSDH
Grand Total for Beaver County:
$14,501,502.42
Attended Appointments for Beaver County Health Department,
State Fiscal Year 05
Immunizations
WIC
Family Planning Children First
Guidance Maternity
General
Child Health
Adult Services
Communicable
Disease
Chronic Disease
STD
Tuberculosis
Community Health Services
Community Development Service
OKLAHOMA STATE
DEPARTMENT OF HEALTH
Looking Back to Move Forward
Report compiled by:
Miriam McGaugh, M.S.
Community Development Service, OSDH
Kelly Baker, MPH
The Oklahoma Turning Point Initiative is public health
improvement in action. The success of the Turning
Point process involves a partnership between the state
and county departments of health, local communities,
and policy-makers. The Oklahoma Turning point en-gine
is fueled by a community-based decision making
process whereby local communities tap into the ca-pacities,
strengths, and vision of their citizens to create
and promote positive, sustainable changes in the pub-lic
health system, and the public’s health.
Oklahoma Community Partners
in Public Health Innovation
Page 8 STATE OF THE COUNTY’S HEALTH REPORT
Beaver County Health Department
PO Box 520
Beaver, OK 73932
580-625-3693
Beaver County Health Department
PO Box 520
Beaver, OK 73932
580-625-3693
Beaver Health Awareness Partnership
We want to thank all the people and organizations that make the Beaver Health Awareness Partnership such
a huge success. With successes such as helping to recruit a physician and conducting a community health
assessment and future plans of developing a wellness/fitness center, you are paving the way to a healthier
future for all residents of Beaver County. Thank you!
􀂾􋸠 Beaver County Health Department
􀂾􋸠 First Security Bank
􀂾􋸠 Bank of Beaver City
􀂾􋸠 Beaver County Memorial Hospital
􀂾􋸠 Nutrition Site
􀂾􋸠 OSU Extension
􀂾􋸠 Herald Democrat
􀂾􋸠 City of Beaver
􀂾􋸠 Howard Drilling Company
􀂾􋸠 Community Clinic
􀂾􋸠 Downing’s Market
􀂾􋸠 Beaver Senior Citizens
􀂾􋸠 Area Agency on Aging
􀂾􋸠 Hardberger & Smylie
􀂾􋸠 OEDA
􀂾􋸠 Department of Human Services
􀂾􋸠 XCEL Energy
􀂾􋸠 EMT
􀂾􋸠 Howard Auto Supply
􀂾􋸠 Assembly of God Church
􀂾􋸠 O’Laughlin Center, Spearman TX
􀂾􋸠 Chamber of Commerce
􀂾􋸠 Trippett and Kee Law Office
􀂾􋸠 SW Kansas Technical School
􀂾􋸠 M & M Consultants
Beckham County
County Demographics 2
Top 10 Leading Causes of Death 2
Nutrition & Obesity 2
Top 10 Leading Causes of Death Table 3
Injury & Violence 4
Tobacco use 4
Physical Activity, Wellness & Diabetes 4
Inside this issue:
State of the County’s
Health Report
O K L A H O M A S T A T E
D E P A R T M E N T O F H E A L T H
Beckham County
A Look Back To Move Forward
Teen Pregnancy 5
Poverty 5
OK By One—State Immunization Data 6
County Health Department Usage 7
Health Care Costs Summary 7
Turning Point 8
The state of Oklahoma has been in a downward health trend
since the 1990’s, until recently. Through the efforts of the state
and county health departments, state and local governments
and the individual communities the health of Oklahomans is
looking up. However, we could do more to improve the health
of the citizens of Oklahoma.
This report focuses on the health factors for the citizens of
Beckham County. We will take a look back to discover what
has been affecting the health of the citizens in order to move
forward and make healthy, effective and safe changes for all.
Demographics
Top 10 Leading Causes of Death
* Vital Statistics, Health Care
Information Systems, OSDH &
Centers for Disease Control
same rate as the nation, and
health care costs are reflecting
this downward spiral of
health. For persons under the
age of 65, on average, health
care costs are $395 more for
obese individuals and are
even greater for persons
over the age of 65.
In 2001-2005, 24.5%
With the United States coming in as the
most obese country in the world, health
care costs related to obesity and poor
nutrition are on the rise.
Of the 292 million people in the United
States, 129 million are overweight or
obese according to their body mass in-dex
(BMI). The number of obese (BMI
> 29) and overweight (BMI 25-29) Ok-lahomans
has been increasing at the
( 4,874 ) of people in Beckham
County were considered obese
which accounted for an addi-tional
$1,925,230 in medical
costs for the county. These costs
are underestimated because they
do not take into account
the percentage of obese or
overweight persons who
are over the age of 65.
Page 2
Nutrition and Obesity
and is still the leading
cause of death among
all age groups. Accord-ing
to the Centers for
Disease Control, al-most
$400,000 is spent
on each heart disease-related
death. With an
average of 94.7 deaths
a year, heart disease
accounts for almost
$35 million a year in medical costs
The top 10 leading causes of death
table on the next page displays a
broad picture of the causes of death
in Beckham County. Since many
health-related issues are unique to
specific ages, this table provides
causes of death by age group at a
glance. The causes of death that are
present across almost every age
group have been highlighted. From
1983 to 1993 heart disease killed
1,032 people in Beckham County
STATE OF THE COUNTY’S HEALTH REPORT
Sensible Foods — Sensible
Portions
5 to 9 Fruits & Vegetables
a Day
* Behavioral Risk Factor Surveillance Sys-tem,
Health Care Information System, OSDH
& Health Affairs Journal, R. Strum, 2002
* U.S. Census Bureau
• Population estimates
o 5% increase from 1990 to 2000
(18,812 to 19,799)
o 3% decrease from 2000 to 2004
o Ranked 58th for growth in state
2000 Census
• Hispanic/Latino ethnicity = 5%
• Race
o Whites = 87%
o Native Americans =3%
o Blacks =6%
o Other/Multiple = 5%
• Age
o Under 5 = 6%
o Over 64 = 15%
o Median age = 36.6 years
• Housing units
o Occupied = 7,356 (84%)
o Vacant = 1,440 (16%)
• Disability (ages 21 to 64) = 24.8%
national = 19.2% state = 21.5%
• Individuals below poverty = 18.2%
national = 12.4% state = 14.7%
Beckham County Population Growth with Projections
0
5,000
10,000
15,000
20,000
25,000
30,000
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2010
2015
2020
2025
2030
Year
County Population
0.51%
0.52%
0.53%
0.54%
0.55%
0.56%
0.57%
0.58%
0.59%
0.60%
0.61%
Percent of State
Population
Beckham Percent of Population
in Beckham County.
Alzheimer’s disease and the
complications associated
with it have increased from
the 16th ranked cause of
death (1983-1993) to the
10th ranked cause of death in
persons 65 and older ac-counting
for a 380% in-crease
in deaths.
Heart disease
accounts for almost
$35 million a year
in medical costs in
Beckham County.
BECKHAM COUNTY Page 3
Rank 0-4 05-14 15-24 25-34 35-44 45-54 55-64 65+ All Ages
PERINATAL
PERIOD
UNINTENT.
IN JURY
UNINTENT.
IN JURY
UNINTENT.
IN JURY
UNINTENT.
IN JURY
HEART
DISEASE
CANCER
HEART
DISEASE
HEART
DISEASE
9 6 25 14 20 37 98 909 1042
UNINTENT.
IN JURY
AORTIC
ANEURYSM
SUICIDE SUICIDE CANCER CANCER
HEART
DISEASE
CANCER CANCER
6 1 8 6 13 35 79 336 486
SIDS
HEART
DISEASE
CANCER
HEART
DISEASE
HEART
DISEASE
BRONCHITIS/
EMPHYSEMA/
ASTHMA
BRONCHITIS/
EMPHYSEMA/
ASTHMA
STROKE STROKE
4 1 2 4 10 8 18 276 297
CONGENITAL
ANOMALIES
INFLUENZA/
PNEUMONIA
ANEMIA HIV SUICIDE
UNINTENT.
IN JURY
UNINTENT.
IN JURY
BRONCHITIS/
EMPHYSEMA/
ASTHMA
BRONCHITIS/
EMPHYSEMA/
ASTHMA
3 1 1 2 8 8 11 159 186
HOMICIDE/
LEGAL
CANCER
BRONCHITIS/
EMPHYSEMA/
ASTHMA
STROKE STROKE STROKE STROKE
INFLUENZA/
PNEUMONIA
UNINTENT.
IN JURY
2 1 1 1 5 7 7 83 123
ATHERO-SCLEROSIS
OTHER STROKE
HOMICIDE/
LEGAL
HOMICIDE/
LEGAL
LIVER DISEASE
DIABETES
MELLITUS
DIABETES
MELLITUS
INFLUENZA/
PNEUMONIA
1 1 1 1 2 7 6 41 93
HEART
DISEASE
HEART
DISEASE
CANCER
INFLUENZA/
PNEUMONIA
DIABETES
MELLITUS
SEPTICEMIA
(BLOOD
POISOINING)
KIDNEY
DISEASE
DIABETES
MELLITUS
1 1 1 2 6 5 38 53
HERNIA HIV OTHER LIVER DISEASE SUICIDE SUICIDE
SEPTICEMIA
(BLOOD
POISOINING)
SEPTICEMIA
(BLOOD
POISOINING)
1 1 8 2 5 5 37 43
OTHER
HOMICIDE/
LEGAL
CONGENITAL
ANOMALIES
INFLUENZA/
PNEUMONIA
INFLUENZA/
PNEUMONIA
UNINTENT.
IN JURY
KIDNEY
DISEASE
6 1 1 3 3 33 40
INFLUENZA/
PNEUMONIA
TWO CAUSES
TIED
CONGENITAL
ANOMALIES
LIVER DISEASE
ALZHEIMER'S
DISEASE
SUIC IDE
1 1 2 3 24 38
Data source: Vital Statistics , Health Care Information Division, Oklahoma State Department of Health
Produced by: Community Development Service, Community Health Services, Oklahoma State Departm ent of Health
9
10
7
8
Top 10 Causes of Death by Age Group
Beckham County 1993-2003
5
6
1
2
3
4
and suicide) in Beckham County are
ranked in the top 10 in six of the eight age
groups (see Top 10 list on page 3).
problem of the individual but also the
community as a whole. With health
care costs on the rise, tar-geting
areas such as tobacco
use is an effective way to
control those costs.
In 2002, the CDC estimated
that a person that used to-bacco
accrued over $3,300
in health care costs per
year. According to the Be-
According to the 2005 State of the
State’s Health Report, tobacco use
among Oklahomans has remained
fairly stable from 1990 to 2002.
Oklahoma has been consistently
higher in its tobacco use than the
nation and is 30% higher than the
nation on the amount of tobacco
consumed per capita (103 packs vs.
79 packs).
Tobacco use is no longer just the
Across the nation and the state of
Oklahoma, unintentional and violence-related
injuries are on the rise. Unin-tentional
injuries account for the 4th
leading cause of death in the United
States and the 5th leading cause of
death in Oklahoma from 1999-2002.
For persons ages 1 to 44 in Oklahoma,
unintentional injuries are the leading
cause of death.
This trend does not change much in
Beckham County. Unintentional inju-ries
are the leading cause of death from
ages 5 to 44.
It is estimated that for every motor ve-hicle-
related death $1.1 million in eco-nomic
costs are incurred. For
Beckham County which has an average
of 4.4 motor vehicle-related deaths a
year, that translates to almost $5
million a year.
Violence-related injuries (homicide
The increasing inactivity of the U.S.
population is contributing to an increase
in numerous poor health-related out-comes.
Physical inactivity robs the body
of precious energy needed to function
properly, in turn health declines and rates
of various chronic diseases escalate.
According to the 2002-2004 Behavioral
Risk Factor Surveillance System
(BRFSS), it is estimated that 38.8%
Page 4
Tobacco Use
Injury and Violence
Physical Activity, Wellness and Diabetes
STATE OF THE COUNTY’S HEALTH REPORT
* Vital Statistics, Health Care
Information Systems, OSDH &
Centers for Disease Control
* Vital Statistics, Health Care
Information Systems, OSDH &
National Safety Council
* Behavioral Risk Factor Surveil-lance
System, Health Care Infor-mation
System, OSDH & Ameri-can
Diabetes Association, 2002
havioral Risk Factor Surveillance Sys-tem,
it is estimated that 32.3% (6,426)
of people in Beckham
County use tobacco of
some sort. Medical
costs accumulated by
those persons are over
$21 million a year for
Beckham County.
“Medical costs
accumulated by those
persons are over $21
million a year for
Beckham County”
ing diabetes. In 2002, the per
capita annual healthcare costs
for people with diabetes was
$13,243 compared to $2,560
for people without diabetes.
Persons with diabetes accumu-lated
health care costs of
$30,299,984.00 in one year for
Beckham County.
(7,719 ) of people in
Beckham County had no
leisure activity in the past
month at the time they were
surveyed.
The BRFSS also indicated
that 11.5% (2,288 ) of
Beckham County citizens
have been diagnosed by a
health professional as hav-
Increase activity gradually.
Moderate exercise for 30
minutes 5 days a week.
Injury and Violence-Related Deaths in
Beckham County, 1999 - 2003
0
1
2
3
4
5
6
7
8
1999 2000 2001 2002 2003
Year of Death
Number of Deaths
DROWNING FALLS FIRES/BURNS HOMICIDE
MVC POISONINGS SUICIDE
*No homicides/legal intervention or poisoning deaths occurred during this time period
While births to teen mothers (age 15 to
19) are on the decline in both the U.S.
and Oklahoma, Oklahoma has moved
up in rank from 13th to 8th in the
country. In 1993 the rate of teen births
was 60.0 (per 1,000 15-19 year old
females) in the U.S. and 66.6 in
Oklahoma. In 2003, the rate de-creased
to 41.7 in the U.S. and
55.8 in Oklahoma, a decrease of
Page 5
Teen Pregnancy
* Sawhill V., Policy Brief #8, The Brookings Institute; Vi-tal
Statistics, Health Care Information Systems, OSDH &
National Vital Statistics, Centers for Disease Control
BECKHAM COUNTY
Rate of Live Births to Teen Mothers, Ages 15-19,
Beckham County, 1993 to 2003
0
10
20
30
40
50
60
70
80
90
100
1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003
Year
Rate per 1,000 15-19 year old
females
*2003 U.S. data is preliminary Beckham Oklahoma U.S.*
As the nation advances in tech-nology
and the ability to detect
and prevent disease at an ear-lier
stage, persons that are im-poverished
carry a large burden
of poor health outcomes.
Higher incidences of un-planned
or unwanted pregnan-cies,
teen pregnancy, inade-quate
prenatal care, higher rates of
low-birth-weight babies, infant
deaths and low immunization rates
are all associated with poverty
along with a myriad of other ad-verse
health outcomes.
According to the 2000 census,
18.2% of persons in Beckham
County for whom poverty status
was known had an income below
what was needed to live at the
federal poverty level. Beckham
County is 24% above the state
(14.7%) and 46% above the na-tion
(12.4%) for persons with in-comes
below the federal poverty
level.
Poverty * U.S. Census Bureau
31% and 7%, respectively.
Children of teen mothers are more likely
to display poor health and social outcomes
than those of older mothers, such as pre-mature
birth, low birth weight, higher
rates of abuse and neglect, and more likely
to go to foster care or do poorly in school.
Additionally, births to teen mothers accu-mulate
$3,200 a year for each teenage
birth, which is passed on to citizens.
According to Oklahoma Vital Statistics,
Beckham County had a teen birth rate of
76.3 in 2003 which was a 0% decrease
from 2002 (76.5) and a 6% decrease since
1993 (81.5).
With an average of 52 births per year, teen
pregnancy costs the citizens of Beckham
County $166,400.00 a year.
Note: 7 births to a mother 10-14 years of age occurred during the 11 year period.
Poverty level Total 50% below 51% to 99%
below
poverty level to
149% above
150% to 199%
above
200% and
above
Population
17,884 1,224 2,023 2,387 2,277 9,973
Cumulative Population
1,224 3,247 5,634 7,911 17,884
% of Total
100.0% 6.8% 11.3% 13.3% 12.7% 55.8%
Cumulative %
6.8% 18.2% 31.5% 44.2% 100.0%
Income to Poverty Ratio, Beckham County, 2000 Census
Page 6 STATE OF THE COUNTY HEALTH REPORT
OK By One - State Immunization Data * 2 Year-old Immunization Sur-vey,
Immunization Service, OSDH
4:3:1:3:3 Coverage by Location of Shots, Oklahoma, 2004
64.0 66.5 64.1
69.7
0.0
10.0
20.0
30.0
40.0
50.0
60.0
70.0
80.0
Provider Type
Percent
Health Dept
Priv Dr.
IHS/Tribal
Other
Adair
Alfalfa
Atoka
Beaver
Beckham
Blaine
Bryan
Caddo
Canadian
Carter
Cherokee
Choctaw
Cimarron
Cleveland
Coal
Comanche
Cotton
Craig
Creek
Custer
Delaware
Dewey
Ellis
Garfield
Garvin
Grady
Grant
Greer
Harmon
Harper
Haskell
Hughes
Jackson
Jefferson
Johnston
Kay
Kingfisher
Kiowa
Latimer
Le Flore
Lincoln
Logan
Love
McClain
McCurtain
MacIntosh
Major
Marshall
Mayes
Murray
Muskogee
Noble
Nowata
Oklahoma Okfuskee
Okmulgee
Osage
Ottawa
Pawnee
Payne
Pittsburg
Pontotoc
Pottawatomie
Pushmataha
Roger Mills
Rogers
Seminole
Sequoyah
Stephens
Texas
Tillman
Tulsa
Wagoner
Washington
Washita
Woods
Woodward
2003-04 Immunization Coverage Rates
80%
70-79%
66-69%
60-65%
50-59%
<50%
Oklahoma Children On Schedule by Antigen, 2004
0
20
40
60
80
100
2 Mth 4 Mth 6 Mth 12 Mth 15-18
Mth
24 Mth
Age Percent
DTaP
IPV
MMR
Hib
HepB
**Note: County level
data will be available
soon.
BECKHAM COUNTY
Motor Vehicle-Related Injury Death
• Average 4.4 deaths per year
• $1,120,000.00 in economic costs per
death
• Total—$4,928,000.00 a year
Tobacco Use
• 32.3% of population (6,426)
• $3,300.00 in health care costs
• Total - $21,205,800.00 a year
Diabetes
• 11.5% of population (2,288 )
• $13,243.00 in healthcare costs a year
• Total—$30,299,984.00 a year
Teen Pregnancy
• Average of 52 births to teen mothers
per year
• $3,200.00 in costs for each birth a year
• Total— $166,400.00 a year
Cardiovascular Disease (Heart Disease)
• Average 95 deaths a year
• $369,476.69 per death
• Total— $35,100,285.55 a year
Obesity
• 24.5% of population ( 4,874 )
• $395.00 in additional medical costs
per person
• Total—$1,925,230.00
Page 7
Health Care Costs Summary
County Health Department Usage * PHOCIS, Community
Health Services, OSDH
Grand Total for Beckham County:
$93,625,699.55
Attended Appointments for Beckham County Health Department,
State Fiscal Year 05
Immunizations
STD
Child Health
Family Planning
Chronic Disease
Children First
Tuberculosis
Communicable Disease
Adult Services
WIC
Dysplasia
Community Health Services
Community Development Service
OKLAHOMA STATE
DEPARTMENT OF HEALTH
Looking Back to Move Forward
Report compiled by:
Miriam McGaugh, M.S.
Community Development Service, OSDH
Kelly Baker, MPH
Health Care Information Systems, OSDH
The Oklahoma Turning Point Initiative is public health
improvement in action. The success of the Turning
Point process involves a partnership between the state
and county departments of health, local communities,
and policy-makers. The Oklahoma Turning point en-gine
is fueled by a community-based decision making
process whereby local communities tap into the ca-pacities,
strengths, and vision of their citizens to create
and promote positive, sustainable changes in the pub-lic
health system, and the public’s health.
Oklahoma Community Partners
in P ublic H ealth In novation
Page 8 STATE OF THE COUNTY’S HEALTH REPORT
1000 NE 10th St, Room 508
Oklahoma City, OK 73117
Phone: 405-271-6127
Fax: 405-271-1225
Email: miriamm@health.ok.gov
Beckham County Health Department
400 East Third St
Elk City, OK 73644
580-225-1173
Blaine County
County Demographics 2
Top 10 Leading Causes of Death 2
Nutrition & Obesity 2
Top 10 Leading Causes of Death Table 3
Injury & Violence 4
Tobacco use 4
Physical Activity, Wellness & Diabetes 4
Inside this issue:
State of the County’s
Health Report
O K L A H O M A S T A T E
D E P A R T M E N T O F H E A L T H
Blaine County
A Look Back To Move Forward
Teen Pregnancy 5
Poverty 5
OK By One—State Immunization Data 6
County Health Department Usage 7
Health Care Costs Summary 7
Turning Point 8
The state of Oklahoma has been in a downward health trend
since the 1990’s, until recently. Through the efforts of the state
and county health departments, state and local governments
and the individual communities the health of Oklahomans is
looking up. However, we could do more to improve the health
of the citizens of Oklahoma.
This report focuses on the health factors for the citizens of
Blaine County. We will take a look back to discover what has
been affecting the health of the citizens in order to move for-ward
and make healthy, effective and safe changes for all.
Demographics
Top 10 Leading Causes of Death
* Vital Statistics, Health Care
Information Systems, OSDH &
Centers for Disease Control
same rate as the nation, and
health care costs are reflecting
this downward spiral of
health. For persons under the
age of 65, on average, health
care costs are $395 more for
obese individuals and are
even greater for persons
over the age of 65.
In 2002-2004, 36.6%
With the United States coming in as the
most obese country in the world, health
care costs related to obesity and poor
nutrition are on the rise.
Of the 292 million people in the United
States, 129 million are overweight or
obese according to their body mass in-dex
(BMI). The number of obese (BMI
> 29) and overweight (BMI 25-29) Ok-lahomans
has been increasing at the
( 4,274 ) of people in Blaine
County were considered obese
which accounted for an addi-tional
$1,688,230 in medical
costs for the county. These costs
are underestimated because they
do not take into account
the percentage of obese or
overweight persons who
are over the age of 65.
Page 2
Nutrition and Obesity
still the leading cause
of death among all age
groups. According to
the Centers for Disease
Control, almost
$400,000 is spent on
each heart disease-related
death. With an
average of 61.9 deaths
a year, heart disease
accounts for almost
$23 million a year in medical costs
The top 10 leading causes of death
table on the next page displays a
broad picture of the causes of death
in Blaine County. Since many
health-related issues are unique to
specific ages, this table provides
causes of death by age group at a
glance. The causes of death that are
present across almost every age
group have been highlighted. From
1983 to 1993 heart disease killed
767 people in Blaine County and is
STATE OF THE COUNTY’S HEALTH REPORT
Sensible Foods — Sensible
Portions
5 to 9 Fruits & Vegetables
a Day
* Behavioral Risk Factor Surveillance Sys-tem,
Health Care Information System, OSDH
& Health Affairs Journal, R. Strum, 2002
* U.S. Census Bureau
• Population estimates
o 4% increase from 1990 to 2000
(11,470 to 11,976)
o 6% decrease from 2000 to 2004
o Ranked 73rd for growth in state
2000 Census
• Hispanic/Latino ethnicity = 7%
• Race
o Whites = 76%
o Native Americans =9%
o Blacks =7%
o Other/Multiple = 8%
• Age
o Under 5 = 6%
o Over 64 = 17%
o Median age = 37.6 years
• Housing units
o Occupied = 4,159 (80%)
o Vacant = 1,049 (20%)
• Disability (ages 21 to 64) = 20.7%
national = 19.2% state = 21.5%
• Individuals below poverty = 16.9%
national = 12.4% state = 14.7%
Blaine County Population Growth with Projections
0
2,000
4,000
6,000
8,000
10,000
12,000
14,000
16,000
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2010
2015
2020
2025
2030
Year
County Population
0.29%
0.30%
0.31%
0.32%
0.33%
0.34%
0.35%
0.36%
0.37%
0.38%
Percent of State
Population
Blaine Percent of Population
in Blaine County.
Alzheimer’s disease and
the complications associ-ated
with it have increased
from the 18th ranked cause
of death (1983-1993) to
the 11th ranked cause of
death in persons 65 and
older accounting for a
250% increase in deaths.
Heart disease
accounts for almost
$23 million a year in
medical costs in
Blaine County.
BLAINE COUNTY Page 3
Rank 0-4 05-14 15-24 25-34 35-44 45-54 55-64 65+ All Ages
CONGENITAL
ANOMALIES
UNINTENT.
IN JURY
UNINTENT.
IN JURY
UNINTENT.
IN JURY
UNINTENT.
IN JURY
HEART
DISEASE
HEART
DISEASE
HEART
DISEASE
HEART
DISEASE
5 5 9 15 15 23 51 594 681
PERINATAL
PERIOD
SUIC IDE
HOMICIDE/
LEGAL
HEART
DISEASE
CANCER CANCER CANCER CANCER
4 5 3 11 15 48 275 345
HOMICIDE/
LEGAL
HOMICIDE/
LEGAL
SUIC IDE CANCER
UNINTENT.
IN JURY
STROKE STROKE STROKE
2 2 3 6 11 8 102 116
SIDS HERNIA STROKE
INFLUENZA/
PNEUMONIA
STROKE
UNINTENT.
IN JURY
INFLUENZA/
PNEUMONIA
INFLUENZA/
PNEUMONIA
2 1 2 2 4 7 96 100
UNINTENT.
IN JURY
HEART
DISEASE
LIVER DISEASE LIVER DISEASE
BRONCHITIS/
EMPHYSEMA/
ASTHMA
BRONCHITIS/
EMPHYSEMA/
ASTHMA
UNINTENT.
IN JURY
2 2 2 4 6 68 98
OTHER HIV
GALLBLADDER
DISORDER
DIABETES
MELLITUS
DIABETES
MELLITUS
DIABETES
MELLITUS
BRONCHITIS/
EMPHYSEMA/
ASTHMA
5 1 1 3 4 41 74
CANCER HIV SUICIDE HYPERTENSION
UNINTENT.
IN JURY
DIABETES
MELLITUS
1 1 3 2 34 48
KIDNEY
DISEASE
MENINGITIS
KIDNEY
DISEASE
LIVER DISEASE
KIDNEY
DISEASE
KIDNEY
DISEASE
1 1 2 2 31 34
OTHER SUICIDE
VIRAL
HEPATITIS
SUIC IDE PNUEMONITIS SUIC IDE
5 1 2 2 17 20
OTHER
THREE CAUSES
TIED
SIX CAUSES
TIED
SEPTICEMIA
(BLOOD
POISOINING)
PNUEMONITIS
10 1 1 15 18
Data source: Vital Statistics , Health Care Information Division, Oklahoma State Department of Health
Produced by: Community Development Service, Community Health Services, Oklahoma State Departm ent of Health
Top 10 Causes of Death by Age Group
Blaine County 1993-2003
5
6
1
2
3
4
9
10
7
8
and suicide) in Blaine County are ranked in
the top 10 in sixof the eight age groups (see
Top 10 list on page 3).
problem of the individual but also the
community as a whole. With health
care costs on the rise, tar-geting
areas such as tobacco
use is an effective way to
control those costs.
In 2002, the CDC estimated
that a person that used to-bacco
accrued over $3,300
in health care costs per
year. According to the Be-
According to the 2005 State of the
State’s Health Report, tobacco use
among Oklahomans has remained
fairly stable from 1990 to 2002.
Oklahoma has been consistently
higher in its tobacco use than the
nation and is 30% higher than the
nation on the amount of tobacco
consumed per capita (103 packs vs.
79 packs).
Tobacco use is no longer just the
Across the nation and the state of
Oklahoma, unintentional and violence-related
injuries are on the rise. Unin-tentional
injuries account for the 4th
leading cause of death in the United
States and the 5th leading cause of
death in Oklahoma from 1999-2002.
For persons ages 1 to 44 in Oklahoma,
unintentional injuries are the leading
cause of death.
This trend does not change much in
Blaine County. Unintentional injuries
are the leading cause of death from
ages 5 to 44.
It is estimated that for every motor ve-hicle-
related death $1.1 million in eco-nomic
costs are incurred. For Blaine
County which has an average of 4.8
motor vehicle-related deaths a year,
that translates to over $5 million a
year.
Violence-related injuries (homicide
The increasing inactivity of the U.S.
population is contributing to an increase
in numerous poor health-related out-comes.
Physical inactivity robs the body
of precious energy needed to function
properly, in turn health declines and rates
of various chronic diseases escalate.
According to the 2002-2004 Behavioral
Risk Factor Surveillance System
(BRFSS), it is estimated that 34.8%
Page 4
Tobacco Use
Injury and Violence
Physical Activity, Wellness and Diabetes
STATE OF THE COUNTY’S HEALTH REPORT
* Vital Statistics, Health Care
Information Systems, OSDH &
Centers for Disease Control
* Vital Statistics, Health Care
Information Systems, OSDH &
National Safety Council
* Behavioral Risk Factor Surveil-lance
System, Health Care Infor-mation
System, OSDH & Ameri-can
Diabetes Association, 2002
havioral Risk Factor Surveillance Sys-tem,
it is estimated that 32.4% (3,784)
of people in Blaine
County use tobacco of
some sort. Medical
costs accumulated by
those persons are over
$12 million a year for
Blaine County.
“Medical costs
accumulated by those
persons are over $12
million a year for Blaine
County”
tes. In 2002, the per capita
annual healthcare costs for
people with diabetes was
$13,243 compared to $2,560
for people without diabetes.
Persons with diabetes accumu-lated
health care costs of
$12,527,878.00 in one year for
Blaine County.
(4,064 ) of people in Blaine
County had no leisure ac-tivity
in the past month at
the time they were sur-veyed.
The BRFSS also indicated
that 8.1% (946 ) of Blaine
County citizens have been
diagnosed by a health pro-fessional
as having diabe-
Increase activity gradually.
Moderate exercise for 30
minutes 5 days a week.
Injury and Violence-Related Deaths in
Blaine County, 1999 - 2003
0
1
2
3
4
5
6
7
8
1999 2000 2001 2002 2003
Year of Death
Number of Deaths
DROWNING FALLS FIRES/BURNS HOMICIDE
MVC POISONINGS SUICIDE
While births to teen mothers (age 15 to
19) are on the decline in both the U.S.
and Oklahoma, Oklahoma has moved
up in rank from 13th to 8th in the
country. In 1993 the rate of teen births
was 60.0 (per 1,000 15-19 year old
females) in the U.S. and 66.6 in
Oklahoma. In 2003, the rate de-creased
to 41.7 in the U.S. and
55.8 in Oklahoma, a decrease of
Page 5
Teen Pregnancy
* Sawhill V., Policy Brief #8, The Brookings Institute; Vi-tal
Statistics, Health Care Information Systems, OSDH &
National Vital Statistics, Centers for Disease Control
BLAINE COUNTY
Rate of Live Births to Teen Mothers,Ages 15-19,
Blaine County, 1993 to 2003
0
10
20
30
40
50
60
70
80
90
100
1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003
Year
Rate per 1,000 15-19 year
old females
*2003 U.S. data is preliminary Blaine Oklahoma U.S.*
As the nation advances in tech-nology
and the ability to detect
and prevent disease at an ear-lier
stage, persons that are im-poverished
carry a large burden
of poor health outcomes.
Higher incidences of un-planned
or unwanted pregnan-cies,
teen pregnancy, inade-quate
prenatal care, higher rates of
low-birth-weight babies, infant
deaths and low immunization rates
are all associated with poverty
along with a myriad of other ad-verse
health outcomes.
According to the 2000 census,
16.9% of persons in Blaine County
for whom poverty status was
known had an income below what
was needed to live at the federal
poverty level. Blaine County is
15% above the state (14.7%) and
36% above the nation (12.4%)
for persons with incomes below
the federal poverty level.
Poverty * U.S. Census Bureau
31% and 7%, respectively.
Children of teen mothers are more likely
to display poor health and social outcomes
than those of older mothers, such as pre-mature
birth, low birth weight, higher
rates of abuse and neglect, and more likely
to go to foster care or do poorly in school.
Additionally, births to teen mothers accu-mulate
$3,200 a year for each teenage
birth, which is passed on to citizens.
According to Oklahoma Vital Statistics,
Blaine County had a teen birth rate of 76.1
in 2003 which was a 111% increase from
2002 (36.1) but a 8% decrease since 1993
(82.7).
With an average of 29 births per year, teen
pregnancy costs the citizens of Blaine
County $92,800.00 a year.
Note: 4 births to a mother 10-14 years of age occurred during the 11 year period.
Poverty level Total 50% below 51% to 99%
below
poverty level to
149% above
150% to 199%
above
200% and
above
Population
10,378 549 1,202 1,408 1,322 5,897
Cumulative Population
549 1,751 3,159 4,481 10,378
% of Total
100.0% 5.3% 11.6% 13.6% 12.7% 56.8%
Cumulative %
5.3% 16.9% 30.4% 43.2% 100.0%
Income to Poverty Ratio, Blaine County, 2000 Census
Page 6 STATE OF THE COUNTY HEALTH REPORT
OK By One - State Immunization Data * 2 Year-old Immunization Sur-vey,
Immunization Service, OSDH
4:3:1:3:3 Coverage by Location of Shots, Oklahoma, 2004
64.0 66.5 64.1
69.7
0.0
10.0
20.0
30.0
40.0
50.0
60.0
70.0
80.0
Provider Type
Percent
Health Dept
Priv Dr.
IHS/Tribal
Other
Adair
Alfalfa
Atoka
Beaver
Beckham
Blaine
Bryan
Caddo
Canadian
Carter
Cherokee
Choctaw
Cimarron
Cleveland
Coal
Comanche
Cotton
Craig
Creek
Custer
Delaware
Dewey
Ellis
Garfield
Garvin
Grady
Grant
Greer
Harmon
Harper
Haskell
Hughes
Jackson
Jefferson
Johnston
Kay
Kingfisher
Kiowa
Latimer
Le Flore
Lincoln
Logan
Love
McClain
McCurtain
MacIntosh
Major
Marshall
Mayes
Murray
Muskogee
Noble
Nowata
Oklahoma Okfuskee
Okmulgee
Osage
Ottawa
Pawnee
Payne
Pittsburg
Pontotoc
Pottawatomie
Pushmataha
Roger Mills
Rogers
Seminole
Sequoyah
Stephens
Texas
Tillman
Tulsa
Wagoner
Washington
Washita
Woods
Woodward
2003-04 Immunization Coverage Rates
80%
70-79%
66-69%
60-65%
50-59%
<50%
Oklahoma Children On Schedule by Antigen, 2004
0
20
40
60
80
100
2 Mth 4 Mth 6 Mth 12 Mth 15-18
Mth
24 Mth
Age Percent
DTaP
IPV
MMR
Hib
HepB
**Note: County level
data will be available
soon.
BLAINE COUNTY
Motor Vehicle-Related Injury Death
• Average 4.8 deaths per year
• $1,120,000.00 in economic costs
per death
• Total—$5,376,000.00 a year
Tobacco Use
• 32.4% of population (3,784)
• $3,300.00 in health care costs
• Total—$12,487,200.00 a year
Diabetes
• 8.1% of population (946 )
• $13,243.00 in healthcare costs a year
• Total—$12,527,878.00 a year
Teen Pregnancy
• Average of 29 births to teen mothers
per year
• $3,200.00 in costs for each birth a
year
• Total— $92,800.00 a year
Cardiovascular Disease (Heart Disease)
• Average 62 deaths a year
• $369,476.69 per death
• Total— $22,907,554.78 a year
Obesity
• 36.6% of population ( 4,274 )
• $395.00 in additional medical costs
per person
• Total—$1,688,230.00
Page 7
County Health Department Usage * PHOCIS, Community
Health Services, OSDH
Grand Total for Blaine County:
$55,079,662.78
Attended Appointments for Blaine County Health Department,
State Fiscal Year 05
Immunizations
WIC
Family Planning
Children First
Tuberculosis
Child Health
Take Charge! Dysplasia
Maternity
Adult Services
Adolescent Health
Chronic Disease
General
STD
Guidance
Communicable Disease
Health Care Costs Summary
Community Health Services
Community Development Service
OKLAHOMA STATE
DEPARTMENT OF HEALTH
Looking Back to Move Forward
Report compiled by:
Miriam McGaugh, M.S.
Community Development Service, OSDH
Kelly Baker, MPH
Health Care Information Systems, OSDH
The Oklahoma Turning Point Initiative is public health
improvement in action. The success of the Turning
Point process involves a partnership between the state
and county departments of health, local communities,
and policy-makers. The Oklahoma Turning point en-gine
is fueled by a community-based decision making
process whereby local communities tap into the ca-pacities,
strengths, and vision of their citizens to create
and promote positive, sustainable changes in the pub-lic
health system, and the public’s health.
Page 8 STATE OF THE COUNTY’S HEALTH REPORT
1000 NE 10th St, Rm 508
Oklahoma City, OK 73117
Phone: 405-271-6127
Fax: 405-271-1225
Email: neil@health.ok.gov
Blaine County Health Department
521 W 4th
Watonga, OK 73772
580-623-7977
Oklahoma Community Partners
in Public Health Innovation
Blaine County Community Health Action Team & Geary Community Health Care
We want to say thank you to all the members of the Blaine County Community
Health Action Team and Geary Community Health Care.
Blaine County Community
Health Action Team
• Blaine County Health Department
• Roman Nose State Park
• Department of Human Services
• Oklahoma Commission for
Children and Youth
• YWCA
• Business Owners
• Preventionworks
• Watonga Police Department
• Faith Community
• County Judge
Geary Community Health Care
• Geary Schools
• Parkview Hospital
• Chamber of Commerce
• Emergency Medical Services
• Nursing Home Board
• Local Physicians
• Local Pharmacist
• Concerned Citizens
• Local Business
• Blaine County Health Department
Bryan County
County Demographics 2
Top 10 Leading Causes of Death 2
Nutrition & Obesity 2
Top 10 Leading Causes of Death Table 3
Injury & Violence 4
Tobacco use 4
Physical Activity, Wellness & Diabetes 4
Inside this issue:
State of the County’s
Health Report
O K L A H O M A S T A T E
D E P A R T M E N T O F H E A L T H
Bryan County
A Look Back To Move Forward
Teen Pregnancy 5
Poverty 5
OK By One—State Immunization Data 6
County Health Department Usage 7
Health Care Costs Summary 7
Turning Point 8
The state of Oklahoma has been in a downward health trend
since the 1990’s, until recently. Through the efforts of the state
and county health departments, state and local governments
and the individual communities the health of Oklahomans is
looking up. However, we could do more to improve the health
of the citizens of Oklahoma.
This report focuses on the health factors for the citizens of
Bryan County. We will take a look back to discover what has
been affecting the health of the citizens in order to move for-ward
and make healthy, effective and safe changes for all.
Demographics
Top 10 Leading Causes of Death
* Vital Statistics, Health Care
Information Systems, OSDH &
Centers for Disease Control
same rate as the nation, and
health care costs are reflecting
this downward spiral of
health. For persons under the
age of 65, on average, health
care costs are $395 more for
obese individuals and are
even greater for persons
over the age of 65.
In 2002-2004, 17.1%
With the United States coming in as the
most obese country in the world, health
care costs related to obesity and poor
nutrition are on the rise.
Of the 292 million people in the United
States, 129 million are overweight or
obese according to their body mass in-dex
(BMI). The number of obese (BMI
> 29) and overweight (BMI 25-29) Ok-lahomans
has been increasing at the
( 6,379 ) of people in Bryan
County were considered obese
which accounted for an addi-tional
$2,519,705 in medical
costs for the county. These costs
are underestimated because they
do not take into account
the percentage of obese or
overweight persons who
are over the age of 65.
Page 2
Nutrition and Obesity
is still the leading cause
of death among all age
groups. According the
Centers for Disease
Control, almost
$400,000 is spent on
each heart disease-related
death. With an
average of 136.2 deaths
a year, heart disease
accounts for over $50
million a year in medical costs in
The top 10 leading causes of death
table on the next page displays a
broad picture of the causes of death
in Bryan County. Since many
health-related issues are unique to
specific ages, this table provides
causes of death by age group at a
glance. The causes of death that are
present across almost every age
group have been highlighted. From
1983 to 1993 heart disease killed
1,529 people in Bryan County and
STATE OF THE COUNTY’S HEALTH REPORT
Sensible Foods — Sensible
Portions
5 to 9 Fruits & Vegetables
a Day
* Behavioral Risk Factor Surveillance Sys-tem,
Health Care Information System, OSDH
& Health Affairs Journal, R. Strum, 2002
* U.S. Census Bureau
• Population estimates
o 14% increase from 1990 to 2000
(32,089 to 36,534)
o 3% increase from 2000 to 2004
o Ranked 13th for growth in state
2000 Census
• Hispanic/Latino ethnicity = 3%
• Race
o Whites = 80%
o Native Americans =«Indian %»
o Blacks =1%
o Other/Multiple = 6%
• Age
o Under 5 = 6%
o Over 64 = 15%
o Median age = 35.8 years
• Housing units
o Occupied = 14,422 (86%)
o Vacant = 2,293 (14%)
• Disability (ages 21 to 64) = 26.3%
national = 19.2% state = 21.5%
• Individuals below poverty = 18.4%
national = 12.4% state = 14.7%
Bryan County Population Growth with Projections
0
10,000
20,000
30,000
40,000
50,000
60,000
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2010
2015
2020
2025
2030
Year
County Population
0.90%
0.95%
1.00%
1.05%
1.10%
1.15%
1.20%
Percent of State
Population
Bryan Percent of Population
Bryan County.
Alzheimer’s disease and
the complications associ-ated
with it have increased
from the 16th ranked cause
of death (1983-1993) to
the 10th ranked cause of
death in persons 65 and
older accounting for a
173% increase in deaths.
Heart disease
accounts for over
$50 million a year in
medical costs in
BryanCounty.
BRYAN COUNTY Page 3
Rank 0-4 05-14 15-24 25-34 35-44 45-54 55-64 65+ All Ages
PERINATAL
PERIOD
UNINTENT.
INJURY
UNINTENT.
INJURY
UNINTENT.
INJURY
UNINTENT.
INJURY
CANCER CANCER
HEART
DISEASE
HEART
DISEASE
15 11 23 28 31 69 166 1261 1499
CONGENITAL
ANOMALIES
BRONCHITIS/
EMPHYSEMA/
ASTHMA
SUICIDE
HEART
DISEASE
HEART
DISEASE
HEART
DISEASE
HEART
DISEASE
CANCER CANCER
4 1 13 7 25 53 148 689 943
UNINTENT.
INJURY
HEART
DISEASE
HOMICIDE/
LEGAL
SUICIDE CANCER
UNINTENT.
INJURY
BRONCHITIS/
EMPHYSEMA/
ASTHMA
STROKE STROKE
3 1 3 6 13 14 20 202 229
HOMICIDE/
LEGAL
HOMICIDE/
LEGAL
HEART
DISEASE
HOMICIDE/
LEGAL
SUICIDE LIVER DISEASE STROKE
INFLUENZA/
PNEUMONIA
BRONCHITIS/
EMPHYSEMA/
ASTHMA
2 1 2 5 12 12 16 182 202
SEPTICEMIA
(BLOOD
POISOINING)
CANCER
INFLUENZA/
PNEUMONIA
CANCER HIV
DIABETES
MELLITUS
UNINTENT.
INJURY
BRONCHITIS/
EMPHYSEMA/
ASTHMA
UNINTENT.
INJURY
2 1 1 4 5 10 14 174 202
SIDS OTHER OTHER STROKE
VIRAL
HEPATITIS
SUICIDE
DIABETES
MELLITUS
DIABETES
MELLITUS
INFLUENZA/
PNEUMONIA
2 2 6 2 5 9 13 97 199
HEART
DISEASE
HIV STROKE STROKE
INFLUENZA/
PNEUMONIA
KIDNEY
DISEASE
DIABETES
MELLITUS
1 2 4 5 11 81 125
INFLUENZA/
PNEUMONIA
DIABETES
MELLITUS
DIABETES
MELLITUS
BRONCHITIS/
EMPHYSEMA/
ASTHMA
LIVER DISEASE
SEPTICEMIA
(BLOOD
POISOINING)
SEPTICEMIA
(BLOOD
POISOINING)
1 1 4 4 7 78 85
CANCER OTHER
BRONCHITIS/
EMPHYSEMA/
ASTHMA
HOMICIDE/
LEGAL
SUICIDE
UNINTENT.
INJURY
KIDNEY
DISEASE
1 15 3 4 7 78 83
OTHER
HOMICIDE/
LEGAL
THREE CAUSES
TIED
HYPERTENSION
ALZHEIMER'S
DISEASE
SUICIDE
8 3 2 4 30 60
Data source: Vital Statistics , Health Care Information Division, Oklahoma State Department of Health
Produced by: Community Development Service, Community Health Services, OK State Dept. of Health July-05
Top 10 Causes of Death by Age Group
Bryan County 1993-2003
5
6
1
2
3
4
9
10
7
8
and suicide) in Bryan County are ranked in
the top 10 in Seven of the eight age groups
(see Top 10 list on page 3).
problem of the individual but also the
community as a whole. With health
care costs on the rise, tar-geting
areas such as tobacco
use is an effective way to
control those costs.
In 2002, the CDC estimated
that a person that used to-bacco
accrued over $3,300
in health care costs per
year. According to the Be-
According to the 2005 State of the
State’s Health Report, tobacco use
among Oklahomans has remained
fairly stable from 1990 to 2002.
Oklahoma has been consistently
higher in its tobacco use than the
nation and is 30% higher than the
nation on the amount of tobacco
consumed per capita (103 packs vs.
79 packs).
Tobacco use is no longer just the
Across the nation and the state of
Oklahoma, unintentional and violence-related
injuries are on the rise. Unin-tentional
injuries account for the 4th
leading cause of death in the United
States and the 5th leading cause of
death in Oklahoma from 1999-2002.
For persons ages 1 to 44 in Oklahoma,
unintentional injuries are the leading
cause of death.
This trend does not change much in
Bryan County. Unintentional injuries
are the leading cause of death from
ages 5 to 44.
It is estimated that for every motor ve-hicle-
related death $1.1 million in eco-nomic
costs are incurred. For Bryan
County which has an average of 9.4
motor vehicle-related deaths a year,
that translates to almost $11 million
a year.
Violence-related injuries (homicide
The increasing inactivity of the U.S.
population is contributing to an increase
in numerous poor health-related out-comes.
Physical inactivity robs the body
of precious energy needed to function
properly, in turn health declines and rates
of various chronic diseases escalate.
According to the 2002-2004 Behavioral
Risk Factor Surveillance System
(BRFSS), it is estimated that 30.7%
Page 4
Tobacco Use
Injury and Violence
Physical Activity, Wellness and Diabetes
STATE OF THE COUNTY’S HEALTH REPORT
* Vital Statistics, Health Care
Information Systems, OSDH &
Centers for Disease Control
* Vital Statistics, Health Care
Information Systems, OSDH &
National Safety Council
* Behavioral Risk Factor Surveil-lance
System, Health Care Infor-mation
System, OSDH & Ameri-can
Diabetes Association, 2002
havioral Risk Factor Surveillance Sys-tem,
it is estimated that 35.6% (13,281)
of people in Bryan
County use tobacco of
some sort. Medical
costs accumulated by
those persons are al-most
$44 million a
year for Bryan
County.
“Medical costs
accumulated by those
persons are almost $44
million a year for Bryan
County”
tes. In 2002, the per capita
annual healthcare costs for
people with diabetes was
$13,243 compared to $2,560
for people without diabetes.
Persons with diabetes accumu-lated
health care costs of
$36,060,689.00 in one year for
Bryan County.
(11,453 ) of people in
Bryan County had no lei-sure
activity in the past
month at the time they were
surveyed.
The BRFSS also indicated
that 7.3% (2,723 ) of Bryan
County citizens have been
diagnosed by a health pro-fessional
as having diabe-
Increase activity gradually.
Moderate exercise for 30
minutes 5 days a week.
Injury and Violence-Related Deaths in Bryan County, 1999 -
2003
0
2
4
6
8
10
12
14
16
1999 2000 2001 2002 2003
Year of Death
Number of Deaths
DROWNING FALLS FIRES/BURNS HOMICIDE
MVC POISONINGS SUICIDE
While births to teen mothers (age 15 to
19) are on the decline in both the U.S.
and Oklahoma, Oklahoma has moved
up in rank from 13th to 8th in the
country. In 1993 the rate of teen births
was 60.0 (per 1,000 15-19 year old
females) in the U.S. and 66.6 in
Oklahoma. In 2003, the rate de-creased
to 41.7 in the U.S. and
55.8 in Oklahoma, a decrease of
Page 5
Teen Pregnancy
* Sawhill V., Policy Brief #8, The Brookings Institute; Vi-tal
Statistics, Health Care Information Systems, OSDH &
National Vital Statistics, Centers for Disease Control
BRYAN COUNTY
Rate of Live Births to Teen Mothers,Ages 15-19, Bryan
County, 1993 to 2003
0
10
20
30
40
50
60
70
80
1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003
Year
Rate per 1,000 15-19 year old
females
*2003 U.S. data is preliminary Bryan Oklahoma U.S.*
As the nation advances in tech-nology
and the ability to detect
and prevent disease at an ear-lier
stage, persons that are im-poverished
carry a large burden
of poor health outcomes.
Higher incidences of un-planned
or unwanted pregnan-cies,
teen pregnancy, inade-quate
prenatal care, higher rates of
low-birth-weight babies, infant
deaths and low immunization rates
are all associated with poverty
along with a myriad of other ad-verse
health outcomes.
According to the 2000 census,
18.4% of persons in Bryan County
for whom poverty status was
known had an income below what
was needed to live at the federal
poverty level. Bryan County is
25% above the state (14.7%) and
48% above the nation (12.4%)
for persons with incomes below
the federal poverty level.
Poverty * U.S. Census Bureau
31% and 7%, respectively.
Children of teen mothers are more likely
to display poor health and social outcomes
than those of older mothers, such as pre-mature
birth, low birth weight, higher
rates of abuse and neglect, and more likely
to go to foster care or do poorly in school.
Additionally, births to teen mothers accu-mulate
$3,200 a year for each teenage
birth, which is passed on to citizens.
According to Oklahoma Vital Statistics,
Bryan County had a teen birth rate of 63.2
in 2003 which was a 8% decrease from
2002 (68.4) and a 14% decrease since
1993 (73.9).
With an average of 89 births per year, teen
pregnancy costs the citizens of Bryan
County $284,800.00 a year.
Note: 15 births to a mother 10-14 years of age occurred during the 11 year period.
Poverty level Total 50% below 51% to 99%
below
poverty level to
149% above
150% to 199%
above
200% and
above
Population
35,521 2,503 4,026 4,653 4,679 19,660
Cumulative Population
2,503 6,529 11,182 15,861 35,521
% of Total
100.0% 7.0% 11.3% 13.1% 13.2% 55.3%
Cumulative %
7.0% 18.4% 31.5% 44.7% 100.0%
Income to Poverty Ratio, Bryan County, 2000 Census
Page 6 STATE OF THE COUNTY HEALTH REPORT
OK By One - State Immunization Data * 2 Year-old Immunization Sur-vey,
Immunization Service, OSDH
4:3:1:3:3 Coverage by Location of Shots, Oklahoma, 2004
64.0 66.5 64.1
69.7
0.0
10.0
20.0
30.0
40.0
50.0
60.0
70.0
80.0
Provider Type
Percent
Health Dept
Priv Dr.
IHS/Tribal
Other
Adair
Alfalfa
Atoka
Beaver
Beckham
Blaine
Bryan
Caddo
Canadian
Carter
Cherokee
Choctaw
Cimarron
Cleveland
Coal
Comanche
Cotton
Craig
Creek
Custer
Delaware
Dewey
Ellis
Garfield
Garvin
Grady
Grant
Greer
Harmon
Harper
Haskell
Hughes
Jackson
Jefferson
Johnston
Kay
Kingfisher
Kiowa
Latimer
Le Flore
Lincoln
Logan
Love
McClain
McCurtain
MacIntosh
Major
Marshall
Mayes
Murray
Muskogee
Noble
Nowata
Oklahoma Okfuskee
Okmulgee
Osage
Ottawa
Pawnee
Payne
Pittsburg
Pontotoc
Pottawatomie
Pushmataha
Roger Mills
Rogers
Seminole
Sequoyah
Stephens
Texas
Tillman
Tulsa
Wagoner
Washington
Washita
Woods
Woodward
2003-04 Immunization Coverage Rates
80%
70-79%
66-69%
60-65%
50-59%
<50%
Oklahoma Children On Schedule by Antigen, 2004
0
20
40
60
80
100
2 Mth 4 Mth 6 Mth 12 Mth 15-18
Mth
24 Mth
Age Percent
DTaP
IPV
MMR
Hib
HepB
**Note: County level
data will be available
soon.
Attended Appointments for Bryan County Health Department,
State Fiscal Year 05
Immunizations
WIC
Family Planning
Early Intervention
Children First
Communicable Disease
Guidance
Take Charge!
Adolescent Health
General
Dysplasia Chronic Disease
Adult Services
STD
Child Health
Tuberculosis
BRYAN COUNTY
Motor Vehicle-Related Injury Death
• Average 9.4 deaths per year
• $1,120,000.00 in economic costs
per death
• Total—$10,528,000.00 a year
Tobacco Use
• 35.6% of population (13,281)
• $3,300.00 in health care costs
• Total—$43,827,300.00 a year
Diabetes
• 7.3% of population (2,723 )
• $13,243.00 in healthcare costs a year
• Total—$36,060,689.00 a year
Teen Pregnancy
• Average of 89 births to teen mothers
per year
• $3,200.00 in costs for each birth a
year
• Total— $284,800.00 a year
Cardiovascular Disease (Heart Disease)
• Average 136 deaths a year
• $369,476.69 per death
• Total— $50,248,829.84 a year
Obesity
• 17.1% of population ( 6,379 )
• $395.00 in additional medical costs
per person
• Total—$2,519,705.00
Page 7
Health Care Costs Summary
County Health Department Usage * PHOCIS, Community
Health Services, OSDH
Grand Total for Bryan County:
$143,469,323.84
1000 NE 10th St, Rm 508
Oklahoma City, OK 73117
Phone: 405-271-6127
Fax: 405-271-1225
Email: neil@health.ok.gov
Community Health Services
Community Development Service
OKLAHOMA STATE
DEPARTMENT OF HEALTH
Looking Back to Move Forward
Report compiled by:
Miriam McGaugh, M.S.
Community Development Service, OSDH
Kelly Baker, MPH
Health Care Information Systems, OSDH
Bryan County Turning Point Coalition
The Oklahoma Turning Point Initiative is public health
improvement in action. The success of the Turning
Point process involves a partnership between the state
and county departments of health, local communities,
and policy-makers. The Oklahoma Turning point en-gine
is fueled by a community-based decision making
process whereby local communities tap into the ca-pacities,
strengths, and vision of their citizens to create
and promote positive, sustainable changes in the pub-lic
health system, and the public’s health.
Bryan County Health Department
1524 W Chuckwa
PO Box 598
Durant, Oklahoma 74702-0598
580-924-4285
Oklahoma Community Partners
in Public Health Innovation
Page 8 STATE OF THE COUNTY’S HEALTH REPORT
We want to say Thank You to all the people that make the Bryan County Turning Point Coa-lition
such a huge success.
• Bryan County Health Department
• Bryan County Coalition
• Bryan County Community Council
• Turning Point Coalition
• Durant Public Schools
• Choctaw Nation Community Health Programs/ Health Services
• Durant Chamber of Commerce
• Durant Kiwanis Club
• Durant Lions Club
• OSU Extension Service
• Medical Center of Southeastern Oklahoma
• Success by Six Initiative
• City of Durant—Parks & Recreation Department
• Southeast Oklahoma Division on Aging ( SODA)
• Chickasaw Nation Health Services
Caddo County
County Demographics 2
Top 10 Leading Causes of Death 2
Nutrition & Obesity 2
Top 10 Leading Causes of Death Table 3
Injury & Violence 4
Tobacco use 4
Physical Activity, Wellness & Diabetes 4
Inside this issue:
State of the County’s
Health Report
O K L A H O M A S T A T E
D E P A R T M E N T O F H E A L T H
Caddo County
A Look Back To Move Forward
Teen Pregnancy 5
Poverty 5
OK By One—State Immunization Data 6
County Health Department Usage 7
Health Care Costs Summary 7
Turning Point 8
The state of Oklahoma has been in a downward health trend
since the 1990’s, until recently. Through the efforts of the state
and county health departments, state and local governments
and the individual communities the health of Oklahomans is
looking up. However, we could do more to improve the health
of the citizens of Oklahoma.
This report focuses on the health factors for the citizens of
Caddo County. We will take a look back to discover what has
been affecting the health of the citizens in order to move for-ward
and make healthy, effective and safe changes for all.
Demographics
Top 10 Leading Causes of Death
* Vital Statistics, Health Care
Information Systems, OSDH &
Centers for Disease Control
same rate as the nation, and
health care costs are reflecting
this downward spiral of
health. For persons under the
age of 65, on average, health
care costs are $395 more for
obese individuals and are
even greater for persons
over the age of 65.
In 2002-2004, 32.8%
With the United States coming in as the
most obese country in the world, health
care costs related to obesity and poor
nutrition are on the rise.
Of the 292 million people in the United
States, 129 million are overweight or
obese according to their body mass in-dex
(BMI). The number of obese (BMI
> 29) and overweight (BMI 25-29) Ok-lahomans
has been increasing at the
( 9,863 ) of people in Caddo
County were considered obese
which accounted for an addi-tional
$3,895,885 in medical
costs for the county. These costs
are underestimated because they
do not take into account
the percentage of obese or
overweight persons who
are over the age of 65.
Page 2
Nutrition and Obesity
is still the leading cause
of death among all age
groups. According to
the Centers for Disease
Control, almost
$400,000 is spent on
each heart disease-related
death. With an
average of 127.5 deaths
a year, heart disease
accounts for over $47
million a year in medical costs in
The top 10 leading causes of death
table on the next page displays a
broad picture of the causes of death
in Caddo County. Since many
health-related issues are unique to
specific ages, this table provides
causes of death by age group at a
glance. The causes of death that are
present across almost every age
group have been highlighted. From
1983 to 1993 heart disease killed
1,452 people in Caddo County and
STATE OF THE COUNTY’S HEALTH REPORT
Sensible Foods — Sensible
Portions
5 to 9 Fruits & Vegetables
a Day
* Behavioral Risk Factor Surveillance Sys-tem,
Health Care Information System, OSDH
& Health Affairs Journal, R. Strum, 2002
* U.S. Census Bureau
• Population estimates
o 2% increase from 1990 to 2000
(29,550 to 30,150)
o 0% increase from 2000 to 2004
o Ranked 40th for growth in state
2000 Census
• Hispanic/Latino ethnicity = 6%
• Race
o Whites = 66%
o Native Americans =24%
o Blacks =3%
o Other/Multiple = 7%
• Age
o Under 5 = 7%
o Over 64 = 15%
o Median age = 36.0 years
• Housing units
o Occupied = 10,957 (84%)
o Vacant = 2,139 (16%)
• Disability (ages 21 to 64) = 22.5%
national = 19.2% state = 21.5%
• Individuals below poverty = 21.7%
national = 12.4% state = 14.7%
Caddo County Population Growth with Projections
27,000
28,000
29,000
30,000
31,000
32,000
33,000
34,000
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2010
2015
2020
2025
2030
Year
County Population
0.70%
0.75%
0.80%
0.85%
0.90%
0.95%
1.00%
Percent of State
Population
Caddo Percent of Population
Caddo County.
Alzheimer’s disease and
the complications associ-ated
with it have increased
from the 12th ranked cause
of death (1983-1993) to
the 9th ranked cause of
death in persons 65 and
older accounting for a
231% increase in deaths.
Heart disease
accounts for over
$47 million a year in
medical costs in
Caddo County.
CADDO COUNTY Page 3
Rank 0-4 05-14 15-24 25-34 35-44 45-54 55-64 65+ All Ages
PERINATAL
PERIOD
UNINTENT.
INJURY
UNINTENT.
INJURY
UNINTENT.
INJURY
UNINTENT.
INJURY
HEART
DISEASE
HEART
DISEASE
HEART
DISEASE
HEART
DISEASE
15 8 52 31 34 65 135 1167 1402
CONGENITAL
ANOMALIES
HEART
DISEASE
SUICIDE
HOMICIDE/
LEGAL
HEART
DISEASE
CANCER CANCER CANCER CANCER
13 3 7 9 24 54 117 547 742
SIDS
CONGENITAL
ANOMALIES
HOMICIDE/
LEGAL
SUICIDE CANCER
UNINTENT.
INJURY
STROKE STROKE STROKE
4 1 5 6 18 23 28 244 287
HEART
DISEASE
OTHER
COMPLICATED
PREGNANCY
CANCER LIVER DISEASE LIVER DISEASE
BRONCHITIS/
EMPHYSEMA/
ASTHMA
BRONCHITIS/
EMPHYSEMA/
ASTHMA
UNINTENT.
INJURY
3 2 2 5 11 19 26 162 239
INFLUENZA/
PNEUMONIA
HEART
DISEASE
DIABETES
MELLITUS
HOMICIDE/
LEGAL
DIABETES
MELLITUS
DIABETES
MELLITUS
INFLUENZA/
PNEUMONIA
BRONCHITIS/
EMPHYSEMA/
ASTHMA
3 2 4 10 11 25 141 193
SEPTICEMIA
(BLOOD
POISONING)
NON-CANCEROUS
TUMOR
STROKE
DIABETES
MELLITUS
SUICIDE
UNINTENT.
INJURY
DIABETES
MELLITUS
DIABETES
MELLITUS
2 1 3 6 10 21 114 160
STROKE STROKE
HEART
DISEASE
HIV STROKE LIVER DISEASE
UNINTENT.
INJURY
INFLUENZA/
PNEUMONIA
1 1 3 5 6 16 69 158
HOMICIDE/
LEGAL
CONGENITAL
ANOMALIES
INFLUENZA/
PNEUMONIA
SUICIDE
SEPTICEMIA
(BLOOD
POISONING)
SEPTICEMIA
(BLOOD
POISONING)
KIDNEY
DISEASE
KIDNEY
DISEASE
1 1 3 5 5 9 68 79
KIDNEY

Click tabs to swap between content that is broken into logical sections.

Adair County
County Demographics 2
Top 10 Leading Causes of Death 2
Nutrition & Obesity 2
Top 10 Leading Causes of Death Table 3
Injury & Violence
Inside this issue:
State of the County’s
Health Report
O K L A H O M A S T A T E D E P A R T M E N T O F H E A L T H
ADAIR County
A Look Back To Move Forward
Teen Pregnancy
Physical Activity, Wellness & Diabetes 4
5
County Health Department Usage
6
Health Care Costs Summary
7
Turning Point
7
The state of Oklahoma has been in a downward health trend
since the 1990’s, until recently. Through the efforts of the state
and county health departments, state and local governments
and the individual communities the health of Oklahomans is
looking up. However, we could do more to improve the health
of the citizens of Oklahoma.
This report focuses on the health factors for the citizens of
Adair County. We will take a look back to discover what has
been affecting the health of the citizens in order to move for-ward
and make healthy, effective and safe changes for all.
Tobacco Use 4
4
Poverty
5
OK By One - State Immunization Date
8
million a year in medical costs in
Adair County.
Alzheimer’s disease and
the complications associ-ated
has increased from
the 16th ranked cause of
death (1983-1993) to the
11th leading cause of
death in persons 65 and
older accounting for a
233% increase in deaths.
same rate as the nation, and
health care costs are reflecting
this downward spiral of
health. For persons under the
age of 65, on average, health
care costs are $395 more for
obese individuals and are
even greater for persons
over the age of 65.
In 2002-2004, 31.3%
With the United States coming in as the
most obese country in the world, health
care costs related to obesity and poor
nutrition are on the rise.
Of the 292 million people in the United
States, 129 million are overweight or
obese according to their body mass in-dex
(BMI). The number of obese (BMI
> 29) and overweight (BMI 25-29) Ok-lahomans
has been increasing at the
(6,750) of people in Adair
County were considered obese
which accounted for an addi-tional
$2,666,250 in medical
costs for the county. These costs
are underestimated because they
do not take into account
the percentage of obese or
overweight persons who
are over the age of 65.
Page 2
Top 10 Leading Causes of Death
Demographics
Nutrition and Obesity
killed 786 people in Adair County
and is still the leading
cause of death among
all age groups. Ac-cording
the Centers
for Disease Control,
almost $400,000 is
spent on each heart
disease-related death.
With an average of 67
deaths a year, heart
disease accounts for almost $25
The top 10 leading causes of death
table on the next page displays a
broad picture of the causes of death
in Adair County. Since many
health-related issues are unique to
specific ages, this table provides
causes of death by age group at a
glance. The causes of death that are
present across almost every age
group have been highlighted.
From 1983 to 1993 heart disease
Heart disease
accounts for almost
$25 million a year in
medical costs in
Adair County.
STATE OF THE COUNTY’S HEALTH REPORT
Sensible Foods — Sensible
Portions
5 to 9 Fruits & Vegetables
a Day
* Vital Statistics, Health Care
Information Systems, OSDH &
* Behavioral Risk Factor Surveillance Sys-tem,
Health Care Information System, OSDH
& Health Affairs Journal, R. Strum, 2002
* U.S. Census Bureau
• Population estimates
o 14% increase 1990 to 2000 (18,421
to 21,038)
o state increase = 10%
o 3.1% increase from 2000 to 2004
o Ranked 16th for growth in state
2000 Census
• Hispanic/Latino ethnicity = 3%
• Race
o Whites = 48.5%
o Native Americans = 42.5%
o Blacks = 0.2%
o Other/Multiple = 8.8%
• Age
o Under 5 = 7.5%
o Over 64 = 12.0%
o Median age = 33.2 years
• Housing units
o Occupied = 7,471 (89.5%)
o Vacant = 877 (10.5%)
• Disability (ages 21 to 64) = 26.6%
state = 21.5% national = 19.2%
• Families below poverty = 19.4%
state = 11.2% national = 9.2%
Adair County Population Growth with Projections
0
5,000
10,000
15,000
20,000
25,000
30,000
35,000
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2010
2015
2020
2025
2030
Year
County Population
0.00%
0.10%
0.20%
0.30%
0.40%
0.50%
0.60%
0.70%
0.80%
0.90%
1.00%
Percent of State
Population
Adair % OF STATE
Top 10 Causes of Death by Age Group
Adair County 1993-2003
Rank 0-4 05-14 15-24 25-34 35-44 45-54 55-64 65+ All Ages
1
CONGENITAL
ANOMALIES
UNINTENT.
INJURY
UNINTENT.
INJURY
UNINTENT.
INJURY CANCER CANCER CANCER HEART DISEASE HEART DISEASE
13 5 32 16 24 55 108 585 738
2
PERINATAL
PERIOD HEART DISEASE HOMICIDE/
LEGAL
HOMICIDE/
LEGAL
UNINTENT.
INJURY HEART DISEASE HEART DISEASE CANCER CANCER
11 1 5 8 18 37 92 323 517
3
UNINTENT.
INJURY
HOMICIDE/
LEGAL CANCER SUICIDE HEART DISEASE UNINTENT.
INJURY
DIABETES
MELLITUS STROKE STROKE
5 1 4 7 17 18 26 155 188
4
SIDS HYPERTENSION SUICIDE HEART DISEASE HOMICIDE/
LEGAL
DIABETES
MELLITUS STROKE INFLUENZA/
PNEUMONIA
UNINTENT.
INJURY
3 1 3 3 7 11 19 81 148
5
STROKE SUICIDE HEART DISEASE DIABETES
MELLITUS STROKE LIVER DISEASE
BRONCHITIS/
EMPHYSEMA/
ASTHMA
BRONCHITIS/
EMPHYSEMA/
ASTHMA
DIABETES
MELLITUS
2 1 2 2 6 11 16 76 109
6
HEART DISEASE OTHER OTHER HIV LIVER DISEASE STROKE UNINTENT.
INJURY
DIABETES
MELLITUS
BRONCHITIS/
EMPHYSEMA/
ASTHMA
1 1 5 2 6 5 12 67 95
7
CANCER CANCER SUICIDE SUICIDE LIVER DISEASE UNINTENT.
INJURY
INFLUENZA/
PNEUMONIA
1 2 6 5 5 42 88
8
OTHER CONGENITAL
ANOMALIES
DIABETES
MELLITUS
BRONCHITIS/
EMPHYSEMA/
ASTHMA
KIDNEY DISEASE KIDNEY DISEASE
SEPTICEMIA
(BLOOD
POISONING)
8 1 3 3 4 26 33
9
LIVER DISEASE HIV HOMICIDE/
LEGAL
SEPTICEMIA
(BLOOD
POISONING)
SEPTICEMIA
(BLOOD
POISONING)
LIVER DISEASE
1 3 3 4 26 31
10
OTHER INFLUENZA/
PNEUMONIA
INFLUENZA/
PNEUMONIA
TWO CAUSES
TIED
ATHERO-SCLEROSIS
KIDNEY DISEASE
7 2 3 3 25 30
Data source: Vital Statistics , Health Care Information Division, Oklahoma State Department of Health
Produced by: Community Development Service, Community Health Services, Oklahoma State Department of Health July 2005
problem of the individual but also the
community as a whole. With health
care costs on the rise, target-ing
areas such as tobacco
use is an effective way to
control those costs.
In 2002, the CDC estimated
that a person that used to-bacco
accrued over $3,300
in health care costs per year.
According to the Behavioral
Risk Factor Surveillance System, it is
estimated that 22.8% (4,917) of people
in Adair County use
tobacco of some sort.
Medical costs accu-mulated
by those per-sons
are over $16
million a year for
Adair County.
According to the 2005 State of the
State’s Health Report, tobacco use
among Oklahomans has remained
fairly stable from 1990 to 2002.
Oklahoma has been consistently
higher in its tobacco use than the
nation and is 30% higher than the
nation on the amount of tobacco
consumed per capita (103 packs vs.
79 packs).
Tobacco use is no longer just the
Across the nation and the state of
Oklahoma, unintentional and violence-related
injuries are on the rise. Unin-tentional
injuries account for the 4th
leading cause of death in the United
States and the 5th leading cause of
death in Oklahoma from 1999-2002.
For persons ages 1 to 44 in Oklahoma,
unintentional injuries are the leading
cause of death.
This trend does not change much in
Adair County. Unintentional injuries
are the leading cause of death from
ages 5 to 34 and the 2nd cause of death
in ages 35 to 44 in Adair County.
It is estimated that for every motor ve-hicle-
related death $1.1 million in eco-nomic
costs are incurred. For Adair
County which has an average of 9.4
motor vehicle-related deaths a year,
that translates to over $10 million a
year.
Violence-related injuries (homicide and
suicide) in Adair County are ranked in the
top 10 in five of the eight age groups (see
Top 10 list on page 3).
(9,533) of people in Adair
County had no leisure ac-tivity
in the past month at
the time they were sur-veyed.
The BRFSS also indicated
that 10.4% (2,243) of
Adair County citizens have
been diagnosed by a health
professional as having dia-
The increasing inactivity of the U.S.
population is contributing to an increase
in numerous poor health-related out-comes.
Physical inactivity robs the body
of precious energy needed to function
properly, in turn health declines and rates
of various chronic diseases escalate.
According to the 2002-2004 Behavioral
Risk Factor Surveillance System
(BRFSS), it is estimated that 44.2%
betes. In 2002, the per capita
annual healthcare costs for
people with diabetes was
$13,243 compared to $2,560
for people without diabetes.
Persons with diabetes accumu-lated
health care costs of
$29,704,049 in one year for
Adair County.
Page 4
Tobacco Use
Injury and Violence
Physical Activity, Wellness and Diabetes
“Medical costs
accumulated by those
persons are over $16
million a year for Adair
County”
STATE OF THE COUNTY’S HEALTH REPORT
Increase activity gradually.
Moderate exercise for 30
minutes 5 days a week.
Injury and Violence-Related Deaths in Adair County,
1999-2003
0
2
4
6
8
10
12
14
16
1999 2000 2001 2002 2003
Year of Death
Number of Deaths
Drowning Falls Fires/Burns Homicide MVC Poisonings Suicide
* Vital Statistics, Health Care
Information Systems, OSDH &
Centers for Disease Control
* Vital Statistics, Health Care
Information Systems, OSDH &
National Safety Council
* Behavioral Risk Factor Surveil-lance
System, Health Care Infor-mation
System, OSDH & Ameri-can
Diabetes Association, 2002
While births to teen mothers (age 15 to
19) are on the decline in both the U.S.
and Oklahoma, Oklahoma has moved
up in rank from 13th to 8th in the
country. In 1993 the rate of teen births
was 60.0 (per 1,000 15-19 year old
females) in the U.S. and 66.6 in
Oklahoma. In 2003, the rate de-creased
to 41.7 in the U.S. and
55.8 in Oklahoma, a decrease of
Page 5
Teen Pregnancy
* Sawhill V., Policy Brief #8, The Brookings Institute; Vi-tal
Statistics, Health Care Information Systems, OSDH &
National Vital Statistics, Centers for Disease Control
ADAIR COUNTY
Rate of Live Births to Teen Mothers,Ages 15-19, Adair
County, 1993 to 2003
0
20
40
60
80
100
120
140
1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003
Year
Rate per 1,000 15-19 year
old females
*2003 U.S. data is preliminary Adair Oklahoma U.S.*
As the nation advances in tech-nology
and the ability to detect
and prevent disease at an ear-lier
stage, persons that are im-poverished
carry a large burden
of poor health outcomes.
Higher incidences of un-planned
or unwanted pregnan-cies,
teen pregnancy, inade-quate
prenatal care, higher rates of
low-birth-weight babies, infant
deaths and low immunization rates
are all associated with poverty
along with a myriad of other ad-verse
health outcomes.
According to the 2000 census,
23.2% of persons in Adair County
for whom poverty status was
known had an income below what
was needed to live at the federal
poverty level. Adair County is
58% above the state (14.7%) and
87% above the nation (12.4%)
for persons with incomes below
the federal poverty level.
Poverty * U.S. Census Bureau
31% and 7%, respectively.
Children of teen mothers are more likely
to display poor health and social outcomes
than those of older mothers, such as pre-mature
birth, low birth weight, higher
rates of abuse and neglect, and more likely
to go to foster care or do poorly in school.
Additionally, births to teen mothers accu-mulate
$3,200 a year for each teenage
birth, which is passed on to citizens.
According to Oklahoma Vital Statistics,
Adair County had a teen birth rate of
101.7 in 2003 which was a 14% increase
from 2002 (88.9) and a 9% increase since
1993 (93.6).
With an average of 85 births per year, teen
pregnancy costs the citizens of Adair
County $272,000.00 a year.
Note: 13 births to a mother 10-14 years of age occurred during the 11 year period.
Poverty level Total 50% below 51% to 99%
below
poverty level to
149% above
150% to 199%
above
200% and
above
Population
20,552 1,762 3,008 3,479 3,012 9,291
Cumulative Population
1,762 4,770 8,249 11,261 20,552
% of Total
100.0% 8.6% 14.6% 16.9% 14.7% 45.2%
Cumulative %
8.6% 23.2% 40.1% 54.8% 100.0%
Income to Poverty Ratio, Adair County, 2000 Census
Page 6 STATE OF THE COUNTY HEALTH REPORT
OK By One - State Immunization Data * 2 Year-old Immunization Sur-vey,
Immunization Service, OSDH
4:3:1:3:3 Coverage by Location of Shots, Oklahoma, 2004
64.0 66.5 64.1
69.7
0.0
10.0
20.0
30.0
40.0
50.0
60.0
70.0
80.0
Provider Type
Percent
Health Dept
Priv Dr.
IHS/Tribal
Other
Adair
Alfalfa
Atoka
Beaver
Beckham
Blaine
Bryan
Caddo
Canadian
Carter
Cherokee
Choctaw
Cimarron
Cleveland
Coal
Comanche
Cotton
Craig
Creek
Custer
Delaware
Dewey
Ellis
Garfield
Garvin
Grady
Grant
Greer
Harmon
Harper
Haskell
Hughes
Jackson
Jefferson
Johnston
Kay
Kingfisher
Kiowa
Latimer
Le Flore
Lincoln
Logan
Love
McClain
McCurtain
MacIntosh
Major
Marshall
Mayes
Murray
Muskogee
Noble
Nowata
Oklahoma Okfuskee
Okmulgee
Osage
Ottawa
Pawnee
Payne
Pittsburg
Pontotoc
Pottawatomie
Pushmataha
Roger Mills
Rogers
Seminole
Sequoyah
Stephens
Texas
Tillman
Tulsa
Wagoner
Washington
Washita
Woods
Woodward
2003-04 Immunization Coverage Rates
80%
70-79%
66-69%
60-65%
50-59%
<50%
Oklahoma Children On Schedule by Antigen, 2004
0
20
40
60
80
100
2 Mth 4 Mth 6 Mth 12 Mth 15-18
Mth
24 Mth
Age Percent
DTaP
IPV
MMR
Hib
HepB
**Note: County level
data will be available
soon.
ADAIR COUNTY
Motor Vehicle-Related Injury Death
• Average 9.4 deaths per year
• $1,120,000.00 in economic costs
per death
• Total—$10,528,000.00 a year
Tobacco Use
• 22.8% of population (4,928)
• $3,300.00 in health care costs
• Total—$16,262,400.00 a year
Diabetes
• 10.4% of population (2,248 )
• $13,243.00 in healthcare costs a year
• Total—$29,770,264.00 a year
Teen Pregnancy
• Average of 85 births to teen mothers
per year
• $3,200.00 in costs for each birth a
year
• Total— $272,000.00 a year
Cardiovascular Disease (Heart Disease)
• Average 67 deaths a year
• $369,476.69 per death
• Total— $24,754,938.23 a year
Obesity
• 31.3% of population ( 6,765 )
• $395.00 in additional medical costs
per person
• Total—$2,672,175.00
Page 7
County Health Department Usage * PHOCIS, Community
Health Services, OSDH
Grand Total for Adair County:
$84,259,777.23
Health Care Costs Summary
Attended Appointments for Adair County Health Department,
State Fiscal Year 05
Immunizations
WIC
Family Planning
STD
Communicable
Disease
Take Charge!
Dysplasia
Children First
Adult Services
Child
Health
Guidance
Tuberculosis
Early
Intervention
The Oklahoma Turning Point Initiative is public health
improvement in action. The success of the Turning
Point process involves a partnership between the
department of health, local communities, and policy-makers.
The Oklahoma Turning point engine is fueled
by a community-based decision making process
whereby local communities tap into the capacities,
strengths, and vision of their citizens to create and
promote positive, sustainable changes in the public
health system, and the public’s health.
ADAIR COUNTY Page 8
Looking Back to Move Forward
OKLAHOMA STATE DEPARTMENT OF
HEALTH
Phone: 405-271-6127
Fax: 405-271-1225
Email: neil@health.ok.gov
Community Development Service
1000 NE 10th St, Rm 508
Oklahoma City, OK 73117
Report compiled by:
Miriam McGaugh, M.S.
Community Development Service, OSDH
Kelly Baker, MPH
Health Care Information Systems, OSDH
Oklahoma Community Partners
in Public Health Innovation
Alfalfa County
County Demographics 2
Top 10 Leading Causes of Death 2
Nutrition & Obesity 2
Top 10 Leading Causes of Death Table 3
Injury & Violence 4
Tobacco use 4
Physical Activity, Wellness & Diabetes 4
Inside this issue:
State of the County’s
Health Report
O K L A H O M A S T A T E
D E P A R T M E N T O F H E A L T H
Alfalfa County
A Look Back To Move Forward
Teen Pregnancy 5
Poverty 5
OK By One—State Immunization Data 6
County Health Department Usage 7
Health Care Costs Summary 7
Turning Point 8
The state of Oklahoma has been in a downward health trend
since the 1990’s, until recently. Through the efforts of the state
and county health departments, state and local governments
and the individual communities the health of Oklahomans is
looking up. However, we could do more to improve the health
of the citizens of Oklahoma.
This report focuses on the health factors for the citizens of Al-falfa
County. We will take a look back to discover what has
been affecting the health of the citizens in order to move for-ward
and make healthy, effective and safe changes for all.
Demographics
Top 10 Leading Causes of Death
* Vital Statistics, Health Care
Information Systems, OSDH &
Centers for Disease Control
costs are reflecting this downward spi-ral
of health. For persons under the age
of 65, on average, health care costs are
$395 more for obese individuals and
are even greater for persons over the
age of 65.
In 2001-2005, 3% (103) of people in
Alfalfa County were considered obese
which accounted for an additional in
medical costs for the county. These
costs are underestimated because they
With the United States coming in as the
most obese country in the world, health
care costs related to obesity and poor
nutrition are on the rise.
Of the 292 million people in the United
States, 129 million are overweight or
obese according to their body mass in-dex
(BMI). The number of obese (BMI
> 29) and overweight (BMI 25-29) Ok-lahomans
has been increasing at the
same rate as the nation, and health care
do not take into account the percentage
of obese or overweight persons who are
over the age of 65.
Page 2
Nutrition and Obesity
still the leading cause
of death among all age
groups. According to
the Centers for Disease
Control, almost
$400,000 is spent on
each heart disease-related
death. With an
average of 30.1 deaths
a year, heart disease
accounts for over $11
million a year in medical costs in
The top 10 leading causes of death
table on the next page displays a
broad picture of the causes of death
in Alfalfa County. Since many
health-related issues are unique to
specific ages, this table provides
causes of death by age group at a
glance. The causes of death that are
present across almost every age
group have been highlighted. From
1983 to 1993 heart disease killed
432 people in Alfalfa County and is
STATE OF THE COUNTY’S HEALTH REPORT
Sensible Foods — Sensible
Portions
5 to 9 Fruits & Vegetables
a Day
* Behavioral Risk Factor Surveillance Sys-tem,
Health Care Information System, OSDH
& Health Affairs Journal, R. Strum, 2002
* U.S. Census Bureau
• Population estimates
o 5% decrease from 1990 to 2000
(6,416 to 6,105)
o 5% decrease from 2000 to 2004
o Ranked 68th for growth in state
2000 Census
• Hispanic/Latino ethnicity = 3%
• Race
o Whites = 89%
o Native Americans =3%
o Blacks =4%
o Other/Multiple = 4%
• Age
o Under 5 = 5%
o Over 64 = 20%
o Median age = 42.3 years
• Housing units
o Occupied = 2,199 (78%)
o Vacant = 633 (22%)
• Disability (ages 21 to 64) = 18.2%
national = 19.2% state = 21.5%
• Individuals below poverty = 13.7%
national = 12.4% state = 14.7%
Alfalfa County Population Growth with Projections
5,400
5,500
5,600
5,700
5,800
5,900
6,000
6,100
6,200
6,300
6,400
6,500
1990
1991992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002003
2004
2005
2010
2015
2020
2025
2030
Year
County Population
0.00%
0.05%
0.10%
0.15%
0.20%
0.25%
Percent of State
Population
Alfalfa Percent of Population
Alfalfa County.
Alzheimer’s disease and the
complications associated
with it have decreased from
the 11th ranked cause of
death (1983-1993) to the
14th ranked cause of death in
persons 65 and older ac-counting
for a 57% decrease
in deaths.
Heart disease
accounts for over
$11 million a year
in medical costs in
Alfalfa County.
No Data Available At This Time
ALFALFA COUNTY Page 3
Rank 0-4 05-14 15-24 25-34 35-44 45-54 55-64 65+ All Ages
UNINTENT.
INJURY
UNINTENT.
INJURY
UNINTENT.
INJURY
SUICIDE CANCER
HEART
DISEASE
HEART
DISEASE
HEART
DISEASE
HEART
DISEASE
4 2 5 4 3 10 31 287 332
HEART
DISEASE
HEART
DISEASE
HEART
DISEASE
HIV SUICIDE CANCER CANCER CANCER CANCER
1 1 1 2 2 8 17 136 164
PERINATAL
PERIOD
SUICIDE
CONGENITAL
ANOMALIES
UNINTENT.
INJURY
UNINTENT.
INJURY
BRONCHITIS/
EMPHYSEMA/
ASTHMA
STROKE STROKE
1 1 1 2 5 6 71 74
OTHER
UNINTENT.
INJURY
DIABETES
MELLITUS
DIABETES
MELLITUS
UNINTENT.
INJURY
INFLUENZA/
PNEUMONIA
INFLUENZA/
PNEUMONIA
1 1 1 2 5 58 60
OTHER
INFLUENZA/
PNEUMONIA
VIRAL
HEPATITIS
STROKE
BRONCHITIS/
EMPHYSEMA/
ASTHMA
BRONCHITIS/
EMPHYSEMA/
ASTHMA
1 1 2 2 35 41
OTHER STROKE
DIABETES
MELLITUS
DIABETES
MELLITUS
UNINTENT.
INJURY
1 1 2 20 40
LIVER DISEASE
SEPTICEMIA
(BLOOD
POISONING)
KIDNEY
DISEASE
DIABETES
MELLITUS
1 2 17 25
OTHER
INFLUENZA/
PNEUMONIA
UNINTENT.
INJURY
KIDNEY
DISEASE
2 1 16 18
LIVER DISEASE
ATHERO-SCLEROSIS
ATHERO-SCLEROSIS
1 12 12
OTHER PNEUMONITIS
TWO CAUSES
TIED
7 12 12
Data source: Vital Statistics , Health Care Information Division, O klahoma State Department of Health
Produced by: Community Development Service, Community Health Services, O klahoma State Department of Health
Top 10 Causes of Death by Age Group
Alfalfa County 1993-2003
5
6
1
2
3
4
9
10
7
8
and suicide) in Alfalfa County are ranked
in the top 10 in three of the eight age
groups (see Top 10 list on page 3).
the community as a whole. With health
care costs on the rise, targeting areas
such as tobacco use is an effective way
to control those costs.
In 2002, the CDC estimated that a per-son
that used tobacco accrued over
$3,300 in health care costs per year.
According to the Behavioral Risk Fac-tor
Surveillance System, it is estimated
that n/a% ( ) of people in Alfalfa County
use tobacco of some sort. Medical costs
accumulated by those persons are
According to the 2005 State of the
State’s Health Report, tobacco use
among Oklahomans has remained
fairly stable from 1990 to 2002.
Oklahoma has been consistently
higher in its tobacco use than the
nation and is 30% higher than the
nation on the amount of tobacco
consumed per capita (103 packs vs.
79 packs).
Tobacco use is no longer just the
problem of the individual but also
Across the nation and the state of
Oklahoma, unintentional and violence-related
injuries are on the rise. Unin-tentional
injuries account for the 4th
leading cause of death in the United
States and the 5th leading cause of
death in Oklahoma from 1999-2002.
For persons ages 1 to 44 in Oklahoma,
unintentional injuries are the leading
cause of death.
This trend does not change much in
Alfalfa County. Unintentional injuries
are the leading cause of death from
ages 5 to 24.
It is estimated that for every motor ve-hicle-
related death $1.1 million in eco-nomic
costs are incurred. For Alfalfa
County which has an average of 1.2
motor vehicle-related deaths a year,
that translates to over $1 million a
year.
Violence-related injuries (homicide
The increasing inactivity of the U.S.
population is contributing to an increase
in numerous poor health-related out-comes.
Physical inactivity robs the body
of precious energy needed to function
properly, in turn health declines and rates
of various chronic diseases escalate.
According to the 2002-2004 Behavioral
Risk Factor Surveillance System
(BRFSS), it is estimated that n/a%
(#VALUE!) of people in Alfalfa County
Page 4
Tobacco Use
Injury and Violence
Physical Activity, Wellness and Diabetes
STATE OF THE COUNTY’S HEALTH REPORT
* Vital Statistics, Health Care
Information Systems, OSDH &
Centers for Disease Control
* Vital Statistics, Health Care
Information Systems, OSDH &
National Safety Council
* Behavioral Risk Factor Surveil-lance
System, Health Care Infor-mation
System, OSDH & Ameri-
#VALUE! $ million a year for Alfalfa
County.
“Medical costs
accumulated by those
persons are #VALUE! $
million a year for Alfalfa
County”
had no leisure activity in the past falfa County.
month at the time they were surveyed.
The BRFSS also indicated that n/a% ( )
of Alfalfa County citizens have been
diagnosed by a health professional as
having diabetes. In 2002, the per capita
annual healthcare costs for people with
diabetes was $13,243 compared to
$2,560 for people without diabetes.
Persons with diabetes accumulated
health care costs of in one year for Al-
Increase activity gradually.
Moderate exercise for 30
minutes 5 days a week.
Injury and Violence-Related Deaths in
Alfalfa County, 1999 - 2003
0
0.5
1
1.5
2
2.5
1999 2000 2001 2002 2003
Year of Death
Number of Deaths
FIRES/BURNS MVC POISONINGS SUICIDE
No Data Available At This Time
No Data Available At This Time
*No homicides/legal intervention or poisoning deaths occurred during this time period
While births to teen mothers (age 15 to
19) are on the decline in both the U.S.
and Oklahoma, Oklahoma has moved
up in rank from 13th to 8th in the
country. In 1993 the rate of teen births
was 60.0 (per 1,000 15-19 year old
females) in the U.S. and 66.6 in
Oklahoma. In 2003, the rate de-creased
to 41.7 in the U.S. and
55.8 in Oklahoma, a decrease of
Page 5
Teen Pregnancy
* Sawhill V., Policy Brief #8, The Brookings Institute; Vi-tal
Statistics, Health Care Information Systems, OSDH &
National Vital Statistics, Centers for Disease Control
ALFALFA COUNTY
Rate of Live Births to Teen Mothers, Ages 15-19,
Alfalfa County, 1993 to 2003
0
10
20
30
40
50
60
70
80
1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003
Year
Rate per 1,000 15-19 year old
females
*2003 U.S. data is preliminary Alfalfa Oklahoma U.S.*
As the nation advances in tech-nology
and the ability to detect
and prevent disease at an ear-lier
stage, persons that are im-poverished
carry a large burden
of poor health outcomes.
Higher incidences of un-planned
or unwanted pregnan-cies,
teen pregnancy, inade-quate
prenatal care, higher rates of
low-birth-weight babies, infant
deaths and low immunization rates
are all associated with poverty
along with a myriad of other ad-verse
health outcomes.
According to the 2000 census,
13.7% of persons in Alfalfa County
for whom poverty status was
known had an income below what
was needed to live at the federal
poverty level. Alfalfa County is
7% below the state (14.7%) and
11% above the nation (12.4%)
for persons with incomes below
the federal poverty level.
Poverty * U.S. Census Bureau
31% and 7%, respectively.
Children of teen mothers are more likely
to display poor health and social outcomes
than those of older mothers, such as pre-mature
birth, low birth weight, higher
rates of abuse and neglect, and more likely
to go to foster care or do poorly in school.
Additionally, births to teen mothers accu-mulate
$3,200 a year for each teenage
birth, which is passed on to citizens.
According to Oklahoma Vital Statistics,
Alfalfa County had a teen birth rate of
42.6 in 2003 which was a 20% increase
from 2002 (35.5) and a 82% increase since
1993 (23.4).
With an average of 6 births per year, teen
pregnancy costs the citizens of Alfalfa
County $19,200.00 a year.
Note: births to a mother 10-14 years of age occurred during the 11 year period.
Poverty level Total 50% below 51% to 99%
below
poverty level to
149% above
150% to 199%
above
200% and
above
Population
5,028 178 512 722 696 2,920
Cumulative Population
178 690 1,412 2,108 5,028
% of Total
100.0% 3.5% 10.2% 14.4% 13.8% 58.1%
Cumulative %
3.5% 13.7% 28.1% 41.9% 100.0%
Income to Poverty Ratio, Alfalfa County, 2000 Census
Unstable Rate
Page 6 STATE OF THE COUNTY HEALTH REPORT
OK By One - State Immunization Data * 2 Year-old Immunization Sur-vey,
Immunization Service, OSDH
4:3:1:3:3 Coverage by Location of Shots, Oklahoma, 2004
64.0 66.5 64.1
69.7
0.0
10.0
20.0
30.0
40.0
50.0
60.0
70.0
80.0
Provider Type
Percent
Health Dept
Priv Dr.
IHS/Tribal
Other
Adair
Alfalfa
Atoka
Beaver
Beckham
Blaine
Bryan
Caddo
Canadian
Carter
Cherokee
Choctaw
Cimarron
Cleveland
Coal
Comanche
Cotton
Craig
Creek
Custer
Delaware
Dewey
Ellis
Garfield
Garvin
Grady
Grant
Greer
Harmon
Harper
Haskell
Hughes
Jackson
Jefferson
Johnston
Kay
Kingfisher
Kiowa
Latimer
Le Flore
Lincoln
Logan
Love
McClain
McCurtain
MacIntosh
Major
Marshall
Mayes
Murray
Muskogee
Noble
Nowata
Oklahoma Okfuskee
Okmulgee
Osage
Ottawa
Pawnee
Payne
Pittsburg
Pontotoc
Pottawatomie
Pushmataha
Roger Mills
Rogers
Seminole
Sequoyah
Stephens
Texas
Tillman
Tulsa
Wagoner
Washington
Washita
Woods
Woodward
2003-04 Immunization Coverage Rates
80%
70-79%
66-69%
60-65%
50-59%
<50%
Oklahoma Children On Schedule by Antigen, 2004
0
20
40
60
80
100
2 Mth 4 Mth 6 Mth 12 Mth 15-18
Mth
24 Mth
Age Percent
DTaP
IPV
MMR
Hib
HepB
**Note: County level
data will be available
soon.
ALFALFA COUNTY
Motor Vehicle-Related Injury Death
• Average 1.2 deaths per year
• $1,120,000.00 in economic costs
per death
• Total—$1,344,000.00 a year
Tobacco Use
• Data Not Available At This Time
Diabetes
• Data Not Available At This Time
Teen Pregnancy
• Average of 6 births to teen mothers
per year
• $3,200.00 in costs for each birth a
year
• Total— $19,200.00 a year
Cardiovascular Disease (Heart Disease)
• Average 30 deaths a year
• $369,476.69 per death
• Total— $11,084,300.70 a year
Obesity
• Data Not Available At This Time
Page 7
Health Care Costs Summary
County Health Department Usage * PHOCIS, Community
Health Services, OSDH
Grand Total for Alfalfa County:
$12,447,500.70
Health Departments Services Received by Alfalfa County Residents
by County Health Department, State Fiscal Year 05
0%
20%
40%
60%
80%
100%
Adult Services Child Health Early Intervention Family Planning STD Tuberculosis
Health Department Service
Percent of Visits
Garfield Grant Major Woods
Community Health Services
Community Development Service
OKLAHOMA STATE
DEPARTMENT OF
HEALTH
Looking Back to Move
Forward
Report compiled by:
Miriam McGaugh, M.S.
Community Development Service, OSDH
Kelly Baker, MPH
Health Care Information Systems, OSDH
The Oklahoma Turning Point Initiative is public health
improvement in action. The success of the Turning
Point process involves a partnership between the state
and county departments of health, local communities,
and policy-makers. The Oklahoma Turning point en-gine
is fueled by a community-based decision making
process whereby local communities tap into the ca-pacities,
strengths, and vision of their citizens to create
and promote positive, sustainable changes in the pub-lic
health system, and the public’s health.
Oklahoma Community Partners
in P ublic H ealth In novation
Page 8 STATE OF THE COUNTY’S HEALTH REPORT
1000 NE 10th St, Room 508
Oklahoma City, OK 73117
Phone: 405-271-6127
Fax: 405-271-1225
Email: miriamm@health.ok.gov
Atoka County
County Demographics 2
Top 10 Leading Causes of Death 2
Nutrition & Obesity 2
Top 10 Leading Causes of Death Table 3
Injury & Violence 4
Tobacco use 4
Physical Activity, Wellness & Diabetes 4
Inside this issue:
State of the County’s
Health Report
O K L A H O M A S T A T E
D E P A R T M E N T O F H E A L T H
Atoka County
A Look Back To Move Forward
Teen Pregnancy 5
Poverty 5
OK By One—State Immunization Data 6
County Health Department Usage 7
Health Care Costs Summary 7
Turning Point 8
The state of Oklahoma has been in a downward health trend
since the 1990’s, until recently. Through the efforts of the state
and county health departments, state and local governments
and the individual communities the health of Oklahomans is
looking up. However, we could do more to improve the health
of the citizens of Oklahoma.
This report focuses on the health factors for the citizens of
Atoka County. We will take a look back to discover what has
been affecting the health of the citizens in order to move for-ward
and make healthy, effective and safe changes for all.
Demographics
Top 10 Leading Causes of Death
* Vital Statistics, Health Care
Information Systems, OSDH &
Centers for Disease Control
same rate as the nation, and
health care costs are reflecting
this downward spiral of
health. For persons under the
age of 65, on average, health
care costs are $395 more for
obese individuals and are
even greater for persons
over the age of 65.
In 2002-2004, 20.1%
With the United States coming in as the
most obese country in the world, health
care costs related to obesity and poor
nutrition are on the rise.
Of the 292 million people in the United
States, 129 million are overweight or
obese according to their body mass in-dex
(BMI). The number of obese (BMI
> 29) and overweight (BMI 25-29) Ok-lahomans
has been increasing at the
( 2,843 ) of people in Atoka
County were considered obese
which accounted for an addi-tional
$1,122,985 in medical
costs for the county. These costs
are underestimated because they
do not take into account
the percentage of obese or
overweight persons who
are over the age of 65.
Page 2
Nutrition and Obesity
still the leading cause
of death among all age
groups. According the
Centers for Disease
Control, almost
$400,000 is spent on
each heart disease-related
death. With an
average of 56.4 deaths
a year, heart disease
accounts for almost
$21 million a year in medical costs
The top 10 leading causes of death
table on the next page displays a
broad picture of the causes of death
in Atoka County. Since many
health-related issues are unique to
specific ages, this table provides
causes of death by age group at a
glance. The causes of death that are
present across almost every age
group have been highlighted. From
1983 to 1993 heart disease killed
694 people in Atoka County and is
STATE OF THE COUNTY’S HEALTH REPORT
Sensible Foods — Sensible
Portions
5 to 9 Fruits & Vegetables
a Day
* Behavioral Risk Factor Surveillance Sys-tem,
Health Care Information System, OSDH
& Health Affairs Journal, R. Strum, 2002
* U.S. Census Bureau
• Population estimates
o 9% increase from 1990 to 2000
(12,778 to 13,879)
o 3% increase from 2000 to 2004
o Ranked 17th for growth in state
2000 Census
• Hispanic/Latino ethnicity = 1%
• Race
o Whites = 76%
o Native Americans =11%
o Blacks =6%
o Other/Multiple = 7%
• Age
o Under 5 = 6%
o Over 64 = 15%
o Median age = 38.3 years
• Housing units
o Occupied = 4,964 (88%)
o Vacant = 709 (12%)
• Disability (ages 21 to 64) = 25.8%
national = 19.2% state = 21.5%
• Individuals below poverty = 19.8%
national = 12.4% state = 14.7%
Atoka County Population Growth with Projections
0
5,000
10,000
15,000
20,000
25,000
1990
1991992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002003
2004
2005
2010
2015
2020
2025
2030
Year
County Population
0.37%
0.38%
0.39%
0.40%
0.41%
0.42%
0.43%
0.44%
0.45%
0.46%
0.47%
Percent of State
Population
Atoka Percent of Population
in Atoka County.
Alzheimer’s disease and
the complications associ-ated
with it have increased
from the 18th ranked cause
of death (1983-1993) to
the 10th ranked cause of
death in persons 65 and
older accounting for a
900% increase in deaths.
Heart disease
accounts for almost
$21 million a year in
medical costs in
Atoka County.
ATOKA COUNTY Page 3
Rank 0-4 05-14 15-24 25-34 35-44 45-54 55-64 65+ All Ages
CONGENITAL
ANOMALIES
UNINTENT.
INJURY
UNINTENT.
INJURY
UNINTENT.
INJURY
UNINTENT.
INJURY
HEART
DISEASE
HEART
DISEASE
HEART
DISEASE
HEART
DISEASE
5 4 15 14 15 28 66 514 620
PERINATAL
PERIOD
BRONCHITIS/
EMPHYSEMA/
ASTHMA
HEART
DISEASE
SUICIDE
HEART
DISEASE
CANCER CANCER CANCER CANCER
5 1 1 6 7 15 61 235 321
SIDS
PERINATAL
PERIOD
HOMICIDE/
LEGAL
HEART
DISEASE
CANCER
UNINTENT.
INJURY
BRONCHITIS/
EMPHYSEMA/
ASTHMA
INFLUENZA/
PNEUMONIA
STROKE
3 1 1 4 7 8 12 78 90
UNINTENT.
INJURY
SUICIDE CANCER SUICIDE LIVER DISEASE STROKE STROKE
UNINTENT.
INJURY
1 1 3 5 7 12 75 87
OTHER LIVER DISEASE LIVER DISEASE SUICIDE
UNINTENT.
INJURY
BRONCHITIS/
EMPHYSEMA/
ASTHMA
INFLUENZA/
PNEUMONIA
6 2 3 5 10 53 83
HOMICIDE/
LEGAL
HOMICIDE/
LEGAL
STROKE LIVER DISEASE
DIABETES
MELLITUS
BRONCHITIS/
EMPHYSEMA/
ASTHMA
1 2 3 4 30 67
INFLUENZA/
PNEUMONIA
DIABETES
MELLITUS
DIABETES
MELLITUS
KIDNEY
DISEASE
KIDNEY
DISEASE
DIABETES
MELLITUS
1 1 3 4 30 35
OTHER
INFLUENZA/
PNEUMONIA
BRONCHITIS/
EMPHYSEMA/
ASTHMA
SUICIDE
SEPTICEMIA
(BLOOD
POISONING)
KIDNEY
DISEASE
5 1 1 3 20 35
OTHER HIV
INFLUENZA/
PNEUMONIA
UNINTENT.
INJURY
LIVER DISEASE
8 1 2 20 26
FOUR CAUSES
TIED
THREE CAUSES
TIED
ALZHEIMER'S
DISEASE
SUICIDE
1 1 10 23
Data source: Vital Statistics , Health Care Information Division, O klahoma State Department of Health
Produced by: Community Development Service, Community Health Services, O klahoma State Department of Health
Top 10 Causes of Death by Age Group
Atoka County 1993-2003
5
6
1
2
3
4
9
10
7
8
and suicide) in Atoka County are ranked in
the top 10 in five of the eight age groups
(see Top 10 list on page 3).
problem of the individual but also the
community as a whole. With health
care costs on the rise, tar-geting
areas such as tobacco
use is an effective way to
control those costs.
In 2002, the CDC estimated
that a person that used to-bacco
accrued over $3,300
in health care costs per
year. According to the Be-
According to the 2005 State of the
State’s Health Report, tobacco use
among Oklahomans has remained
fairly stable from 1990 to 2002.
Oklahoma has been consistently
higher in its tobacco use than the
nation and is 30% higher than the
nation on the amount of tobacco
consumed per capita (103 packs vs.
79 packs).
Tobacco use is no longer just the
Across the nation and the state of
Oklahoma, unintentional and violence-related
injuries are on the rise. Unin-tentional
injuries account for the 4th
leading cause of death in the United
States and the 5th leading cause of
death in Oklahoma from 1999-2002.
For persons ages 1 to 44 in Oklahoma,
unintentional injuries are the leading
cause of death.
This trend does not change much in
Atoka County. Unintentional injuries
are the leading cause of death from
ages 5 to 44.
It is estimated that for every motor ve-hicle-
related death $1.1 million in eco-nomic
costs are incurred. For Atoka
County which has an average of 4.4
motor vehicle-related deaths a year,
that translates to almost $5 million
a year.
Violence-related injuries (homicide
The increasing inactivity of the U.S.
population is contributing to an increase
in numerous poor health-related out-comes.
Physical inactivity robs the body
of precious energy needed to function
properly, in turn health declines and rates
of various chronic diseases escalate.
According to the 2002-2004 Behavioral
Risk Factor Surveillance System
(BRFSS), it is estimated that 33.8%
Page 4
Tobacco Use
Injury and Violence
Physical Activity, Wellness and Diabetes
STATE OF THE COUNTY’S HEALTH REPORT
* Vital Statistics, Health Care
Information Systems, OSDH &
Centers for Disease Control
* Vital Statistics, Health Care
Information Systems, OSDH &
National Safety Council
* Behavioral Risk Factor Surveil-lance
System, Health Care Infor-mation
System, OSDH & Ameri-can
Diabetes Association, 2002
havioral Risk Factor Surveillance Sys-tem,
it is estimated that 31.6% (4,469)
of people in Atoka
County use tobacco of
some sort. Medical
costs accumulated by
those persons are al-most
$15 million a
year for Atoka
County.
“Medical costs
accumulated by those
persons are almost $15
million a year for Atoka
County”
tes. In 2002, the per capita
annual healthcare costs for
people with diabetes was
$13,243 compared to $2,560
for people without diabetes.
Persons with diabetes accumu-lated
health care costs of
$14,421,627.00 in one year for
Atoka County.
(4,780 ) of people in Atoka
County had no leisure ac-tivity
in the past month at
the time they were sur-veyed.
The BRFSS also indicated
that 7.7% (1,089 ) of Atoka
County citizens have been
diagnosed by a health pro-fessional
as having diabe-
Increase activity gradually.
Moderate exercise for 30
minutes 5 days a week.
Injury and Violence-Related Deaths in
Atoka County, 1999 - 2003
0
1
2
3
4
5
6
7
1999 2000 2001 2002 2003
Year of Death
Number of Deaths
DROWNING FALLS FIRES/BURNS HOMICIDE
MVC POISONINGS SUICIDE
While births to teen mothers (age 15 to
19) are on the decline in both the U.S.
and Oklahoma, Oklahoma has moved
up in rank from 13th to 8th in the
country. In 1993 the rate of teen births
was 60.0 (per 1,000 15-19 year old
females) in the U.S. and 66.6 in
Oklahoma. In 2003, the rate de-creased
to 41.7 in the U.S. and
55.8 in Oklahoma, a decrease of
Page 5
Teen Pregnancy
* Sawhill V., Policy Brief #8, The Brookings Institute; Vi-tal
Statistics, Health Care Information Systems, OSDH &
National Vital Statistics, Centers for Disease Control
ATOKA COUNTY
Rate of Live Births to Teen Mothers, Ages 15-19,
Atoka County, 1993 to 2003
0
20
40
60
80
100
1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003
Year
Rate per 1,000 15-19 year old
females
*2003 U.S. data is preliminary Atoka Oklahoma U.S.*
As the nation advances in tech-nology
and the ability to detect
and prevent disease at an ear-lier
stage, persons that are im-poverished
carry a large burden
of poor health outcomes.
Higher incidences of un-planned
or unwanted pregnan-cies,
teen pregnancy, inade-quate
prenatal care, higher rates of
low-birth-weight babies, infant
deaths and low immunization rates
are all associated with poverty
along with a myriad of other ad-verse
health outcomes.
According to the 2000 census,
19.8% of persons in Atoka County
for whom poverty status was
known had an income below what
was needed to live at the federal
poverty level. Atoka County is
34% above the state (14.7%) and
59% above the nation (12.4%)
for persons with incomes below
the federal poverty level.
Poverty * U.S. Census Bureau
31% and 7%, respectively.
Children of teen mothers are more likely
to display poor health and social outcomes
than those of older mothers, such as pre-mature
birth, low birth weight, higher
rates of abuse and neglect, and more likely
to go to foster care or do poorly in school.
Additionally, births to teen mothers accu-mulate
$3,200 a year for each teenage
birth, which is passed on to citizens.
According to Oklahoma Vital Statistics,
Atoka County had a teen birth rate of 50.1
in 2003 which was a 41% decrease from
2002 (84.4) and a 33% decrease since
1993 (74.4).
With an average of 29 births per year, teen
pregnancy costs the citizens of Atoka
County $92,800.00 a year.
Note: 4 births to a mother 10-14 years of age occurred during the 11 year period.
Poverty level Total 50% below 51% to 99%
below
poverty level to
149% above
150% to 199%
above
200% and
above
Population
12,282 1,018 1,408 2,147 1,534 6,175
Cumulative Population
1,018 2,426 4,573 6,107 12,282
% of Total
100.0% 8.3% 11.5% 17.5% 12.5% 50.3%
Cumulative %
8.3% 19.8% 37.2% 49.7% 100.0%
Income to Poverty Ratio, Atoka County, 2000 Census
Page 6 STATE OF THE COUNTY HEALTH REPORT
OK By One - State Immunization Data * 2 Year-old Immunization Sur-vey,
Immunization Service, OSDH
4:3:1:3:3 Coverage by Location of Shots, Oklahoma, 2004
64.0 66.5 64.1
69.7
0.0
10.0
20.0
30.0
40.0
50.0
60.0
70.0
80.0
Provider Type
Percent
Health Dept
Priv Dr.
IHS/Tribal
Other
Adair
Alfalfa
Atoka
Beaver
Beckham
Blaine
Bryan
Caddo
Canadian
Carter
Cherokee
Choctaw
Cimarron
Cleveland
Coal
Comanche
Cotton
Craig
Creek
Custer
Delaware
Dewey
Ellis
Garfield
Garvin
Grady
Grant
Greer
Harmon
Harper
Haskell
Hughes
Jackson
Jefferson
Johnston
Kay
Kingfisher
Kiowa
Latimer
Le Flore
Lincoln
Logan
Love
McClain
McCurtain
MacIntosh
Major
Marshall
Mayes
Murray
Muskogee
Noble
Nowata
Oklahoma Okfuskee
Okmulgee
Osage
Ottawa
Pawnee
Payne
Pittsburg
Pontotoc
Pottawatomie
Pushmataha
Roger Mills
Rogers
Seminole
Sequoyah
Stephens
Texas
Tillman
Tulsa
Wagoner
Washington
Washita
Woods
Woodward
2003-04 Immunization Coverage Rates
80%
70-79%
66-69%
60-65%
50-59%
<50%
Oklahoma Children On Schedule by Antigen, 2004
0
20
40
60
80
100
2 Mth 4 Mth 6 Mth 12 Mth 15-18
Mth
24 Mth
Age Percent
DTaP
IPV
MMR
Hib
HepB
**Note: County level
data will be available
soon.
ATOKA COUNTY
Motor Vehicle-Related Injury Death
• Average 4.4 deaths per year
• $1,120,000.00 in economic costs
per death
• Total—$4,928,000.00 a year
Tobacco Use
• 31.6% of population (4,469)
• $3,300.00 in health care costs
• Total—$14,747,700.00 a year
Diabetes
• 7.7% of population (1,089 )
• $13,243.00 in healthcare costs a year
• Total—$14,421,627.00 a year
Teen Pregnancy
• Average of 29 births to teen mothers
per year
• $3,200.00 in costs for each birth a
year
• Total— $92,800.00 a year
Cardiovascular Disease (Heart Disease)
• Average 56 deaths a year
• $369,476.69 per death
• Total— $20,690,694.64 a year
Obesity
• 20.1% of population ( 2,843 )
• $395.00 in additional medical costs
per person
• Total—$1,122,985.00
Page 7
Health Care Costs Summary
County Health Department Usage * PHOCIS, Community
Health Services, OSDH
Grand Total for Atoka County:
$56,003,806.64
Attended Appointments for Atoka County Health Department,
State Fiscal Year 05
Immunizations
WIC
Family Planning
General
Child Health
Children First Dysplasia
Tuberculosis
STD
Communicable Disease
Chronic Disease
Take Charge!
Adult Services
The Oklahoma Turning Point Initiative is public health
improvement in action. The success of the Turning
Point process involves a partnership between the state
and county departments of health, local communities,
and policy-makers. The Oklahoma Turning point en-gine
is fueled by a community-based decision making
process whereby local communities tap into the ca-pacities,
strengths, and vision of their citizens to create
and promote positive, sustainable changes in the pub-lic
health system, and the public’s health.
Community Health Services
Community Development Service
OKLAHOMA STATE
DEPARTMENT OF HEALTH
Looking Back to Move Forward
Report compiled by:
Miriam McGaugh, M.S.
Community Development Service, OSDH
Kelly Baker, MPH
Oklahoma Community Partners
in Public Health Innovation
Page 8 STATE OF THE COUNTY’S HEALTH REPORT
Atoka County Health Department
1006 W 13th St
Atoka, OK 74525
580-889-2116
Atoka & Coal Counties Partnership For Change Community Coalition
We want to thank all the people and organizations that make the Partnership for Change
Community Coalition successful. Thank you!
• American Cancer Society
• Atoka & Coalgate Chamber of Commerce
• Atoka Community Chest
• Atoka First Baptist Church
• Atoka/Coalgate Hospital
• Big Five Community Action Agency/Sorts Transit
• Choctaw Nation CORE Capacity/Healthy Life-styles/
Project CHILD
• Coal and Atoka County Health Departments
• Coal and Atoka County Public Schools
• Coalgate Register
• COALition
• Community members at large
• County Commissioners
• Department of Human Services
• Girl Scouts
1000 NE 10th St, Room 508
Oklahoma City, OK 73117
405-271-6127
Email: neilh@health.ok.gov
• Head Start
• INCA Community Action Agency/Jamm Transit
• Kiamichi Technology Center
• Oklahoma State Department of Health Turning Point
• Oklahoma State University Cooperative Extension
Service
• School Based Social Workers
• Senior Nutrition Center
• Southeast Oklahoma Division on Aging (SODA)
• Tri-County Indian Nations Community Development
Corporation
• USDA
• Women, Infants and Children (WIC)
• Youth
Beaver County
County Demographics 2
Top 10 Leading Causes of Death 2
Nutrition & Obesity 2
Top 10 Leading Causes of Death Table 3
Injury & Violence 4
Tobacco use 4
Physical Activity, Wellness & Diabetes 4
Inside this issue:
State of the County’s
Health Report
O K L A H O M A S T A T E
D E P A R T M E N T O F H E A L T H
Beaver County
A Look Back To Move Forward
Teen Pregnancy 5
Poverty 5
OK By One—State Immunization Data 6
County Health Department Usage 7
Health Care Costs Summary 7
Turning Point 8
The state of Oklahoma has been in a downward health trend
since the 1990’s, until recently. Through the efforts of the state
and county health departments, state and local governments
and the individual communities the health of Oklahomans is
looking up. However, we could do more to improve the health
of the citizens of Oklahoma.
This report focuses on the health factors for the citizens of Bea-ver
County. We will take a look back to discover what has
been affecting the health of the citizens in order to move for-ward
and make healthy, effective and safe changes for all.
Demographics
Top 10 Leading Causes of Death
* Vital Statistics, Health Care
Information Systems, OSDH &
Centers for Disease Control
same rate as the nation, and
health care costs are reflecting
this downward spiral of
health. For persons under the
age of 65, on average, health
care costs are $395 more for
obese individuals and are
even greater for persons
over the age of 65.
In 2002-2004, 33.7%
With the United States coming in as the
most obese country in the world, health
care costs related to obesity and poor
nutrition are on the rise.
Of the 292 million people in the United
States, 129 million are overweight or
obese according to their body mass in-dex
(BMI). The number of obese (BMI
> 29) and overweight (BMI 25-29) Ok-lahomans
has been increasing at the
( 1,881 ) of people in Beaver
County were considered obese
which accounted for an addi-tional
$742,995 in medical costs
for the county. These costs are
underestimated because they do
not take into account the
percentage of obese or
overweight persons who
are over the age of 65.
Page 2
Nutrition and Obesity
still the leading cause
of death among all age
groups. According the
Centers for Disease
Control, almost
$400,000 is spent on
each heart disease-related
death. With an
average of 17.6 deaths
a year, heart disease
accounts for almost $7
million a year in medical costs in
The top 10 leading causes of death
table on the next page displays a
broad picture of the causes of death
in Beaver County. Since many
health-related issues are unique to
specific ages, this table provides
causes of death by age group at a
glance. The causes of death that are
present across almost every age
group have been highlighted. From
1983 to 1993 heart disease killed
239 people in Beaver County and is
STATE OF THE COUNTY’S HEALTH REPORT
Sensible Foods — Sensible
Portions
5 to 9 Fruits & Vegetables
a Day
* Behavioral Risk Factor Surveillance Sys-tem,
Health Care Information System, OSDH
& Health Affairs Journal, R. Strum, 2002
* U.S. Census Bureau
• Population estimates
o 3% decrease from 1990 to 2000
(6,023 to 5,857)
o 6% decrease from 2000 to 2004
o Ranked 75th for growth in state
2000 Census
• Hispanic/Latino ethnicity = 11%
• Race
o Whites = 93%
o Native Americans =1%
o Blacks =0%
o Other/Multiple = 6%
• Age
o Under 5 = 6%
o Over 64 = 17%
o Median age = 39.3 years
• Housing units
o Occupied = 2,245 (83%)
o Vacant = 474 (17%)
• Disability (ages 21 to 64) = 15.1%
national = 19.2% state = 21.5%
• Individuals below poverty = 11.7%
national = 12.4% state = 14.7%
Beaver County Population Growth with Projections
5,200
5,300
5,400
5,500
5,600
5,700
5,800
5,900
6,000
6,100
6,200
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2010
2015
2020
2025
2030
Year
County Population
0.00%
0.05%
0.10%
0.15%
0.20%
0.25%
Percent of State
Population
Beaver Percent of Population
Beaver County.
Alzheimer’s disease and
the complications associ-ated
with it have increased
from the 14th ranked cause
of death (1983-1993) to
the 9th ranked cause of
death in persons 65 and
older accounting for a
300% increase in deaths.
Heart disease
accounts for almost
$7 million a year in
medical costs in
Beaver County.
BEAVER COUNTY Page 3
Rank 0-4 05-14 15-24 25-34 35-44 45-54 55-64 65+ All Ages
PERINATAL
PERIOD
SUICIDE
UNINTENT.
INJURY
UNINTENT.
INJURY
UNINTENT.
INJURY
CANCER
HEART
DISEASE
HEART
DISEASE
HEART
DISEASE
3 2 8 3 5 10 17 167 195
CONGENITAL
ANOMALIES
OTHER STROKE SUICIDE
HEART
DISEASE
UNINTENT.
INJURY
CANCER CANCER CANCER
1 1 2 2 2 10 12 112 137
CANCER OTHER CANCER
HEART
DISEASE
NON-CANCEROUS
TUMOR
ATHERO-SCLEROSIS
UNINTENT.
INJURY
1 1 2 8 3 35 42
BRONCHITIS/
EMPHYSEMA/
ASTHMA
DIABETES
MELLITUS
BRONCHITIS/
EMPHYSEMA/
ASTHMA
STROKE STROKE
1 2 3 32 36
LIVER DISEASE
NON-CANCEROUS
TUMOR
DIABETES
MELLITUS
BRONCHITIS/
EMPHYSEMA/
ASTHMA
ATHERO-SCLEROSIS
1 1 3 24 35
NUTRITIONAL
DEFICIENCY
BRONCHITIS/
EMPHYSEMA/
ASTHMA
STROKE
DIABETES
MELLITUS
BRONCHITIS/
EMPHYSEMA/
ASTHMA
1 1 2 20 29
OTHER LIVER DISEASE
INFLUENZA/
PNEUMONIA
UNINTENT.
INJURY
DIABETES
MELLITUS
1 1 2 14 25
NUTRITIONAL
DEFICIENCY
UNINTENT.
INJURY
INFLUENZA/
PNEUMONIA
INFLUENZA/
PNEUMONIA
1 2 13 15
SUICIDE HYPERTENSION
ALZHEIMER'S
DISEASE
ALZHEIMER'S
DISEASE
1 1 12 12
OTHER OTHER
TWO CAUSES
TIED
SUICIDE
3 3 5 10
Data source: Vital Statistics , Health Care Information Division, Oklahoma State Department of Health
Produced by: Community Development Service, Community Health Services, Oklahoma State Department of Health
Top 10 Causes of Death by Age Group
Beaver County 1993-2003
5
6
1
2
3
4
9
10
7
8
and suicide) in Beaver County are ranked
in the top 10 in three of the eight age
groups (see Top 10 list on page 3).
problem of the individual but also the
community as a whole. With health
care costs on the rise, tar-geting
areas such as tobacco
use is an effective way to
control those costs.
In 2002, the CDC estimated
that a person that used to-bacco
accrued over $3,300
in health care costs per
year. According to the Be-
According to the 2005 State of the
State’s Health Report, tobacco use
among Oklahomans has remained
fairly stable from 1990 to 2002.
Oklahoma has been consistently
higher in its tobacco use than the
nation and is 30% higher than the
nation on the amount of tobacco
consumed per capita (103 packs vs.
79 packs).
Tobacco use is no longer just the
Across the nation and the state of
Oklahoma, unintentional and violence-related
injuries are on the rise. Unin-tentional
injuries account for the 4th
leading cause of death in the United
States and the 5th leading cause of
death in Oklahoma from 1999-2002.
For persons ages 1 to 44 in Oklahoma,
unintentional injuries are the leading
cause of death.
This trend does not change much in
Beaver County. Unintentional injuries
are the leading cause of death from
ages 15 to 44.
It is estimated that for every motor ve-hicle-
related death $1.1 million in eco-nomic
costs are incurred. For Beaver
County which has an average of 1.6
motor vehicle-related deaths a year,
that translates to almost $2 million
a year.
Violence-related injuries (homicide
The increasing inactivity of the U.S.
population is contributing to an increase
in numerous poor health-related out-comes.
Physical inactivity robs the body
of precious energy needed to function
properly, in turn health declines and rates
of various chronic diseases escalate.
According to the 2002-2004 Behavioral
Risk Factor Surveillance System
(BRFSS), it is estimated that 28.1%
Page 4
Tobacco Use
Injury and Violence
Physical Activity, Wellness and Diabetes
STATE OF THE COUNTY’S HEALTH REPORT
* Vital Statistics, Health Care
Information Systems, OSDH &
Centers for Disease Control
* Vital Statistics, Health Care
Information Systems, OSDH &
National Safety Council
* Behavioral Risk Factor Surveil-lance
System, Health Care Infor-mation
System, OSDH & Ameri-can
Diabetes Association, 2002
havioral Risk Factor Surveillance Sys-tem,
it is estimated that 22.3% (1,245)
of people in Beaver
County use tobacco of
some sort. Medical
costs accumulated by
those persons are over
$4 million a year for
Beaver County.
“Medical costs
accumulated by those
persons are over $4
million a year for Beaver
County”
tes. In 2002, the per capita
annual healthcare costs for
people with diabetes was
$13,243 compared to $2,560
for people without diabetes.
Persons with diabetes accumu-lated
health care costs of
$1,178,627.00 in one year for
Beaver County.
(1,569 ) of people in Beaver
County had no leisure ac-tivity
in the past month at
the time they were sur-veyed.
The BRFSS also indicated
that 1.6% (89 ) of Beaver
County citizens have been
diagnosed by a health pro-fessional
as having diabe-
Increase activity gradually.
Moderate exercise for 30
minutes 5 days a week.
Injury and Violence-Related Deaths in
Beaver County, 1999 - 2003
0
0.5
1
1.5
2
2.5
1999 2000 2001 2002 2003
Year of Death
Number of Deaths
DROWNING FALLS FIRES/BURNS MVC SUICIDE
While births to teen mothers (age 15 to
19) are on the decline in both the U.S.
and Oklahoma, Oklahoma has moved
up in rank from 13th to 8th in the
country. In 1993 the rate of teen births
was 60.0 (per 1,000 15-19 year old
females) in the U.S. and 66.6 in
Oklahoma. In 2003, the rate de-creased
to 41.7 in the U.S. and
55.8 in Oklahoma, a decrease of
Page 5
Teen Pregnancy
* Sawhill V., Policy Brief #8, The Brookings Institute; Vi-tal
Statistics, Health Care Information Systems, OSDH &
National Vital Statistics, Centers for Disease Control
BEAVER COUNTY
Rate of Live Births to Teen Mothers,Ages 15-19,
Beaver County, 1993 to 2003
0
10
20
30
40
50
60
70
80
1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003
Year
Rate per 1,000 15-19 year old
females
*2003 U.S. data is preliminary Beaver Oklahoma U.S.*
As the nation advances in tech-nology
and the ability to detect
and prevent disease at an ear-lier
stage, persons that are im-poverished
carry a large burden
of poor health outcomes.
Higher incidences of un-planned
or unwanted pregnan-cies,
teen pregnancy, inade-quate
prenatal care, higher rates of
low-birth-weight babies, infant
deaths and low immunization rates
are all associated with poverty
along with a myriad of other ad-verse
health outcomes.
According to the 2000 census,
11.7% of persons in Beaver County
for whom poverty status was
known had an income below what
was needed to live at the federal
poverty level. Beaver County is
20% below the state (14.7%) and
6% below the nation (12.4%) for
persons with incomes below the
federal poverty level.
Poverty * U.S. Census Bureau
31% and 7%, respectively.
Children of teen mothers are more likely
to display poor health and social outcomes
than those of older mothers, such as pre-mature
birth, low birth weight, higher
rates of abuse and neglect, and more likely
to go to foster care or do poorly in school.
Additionally, births to teen mothers accu-mulate
$3,200 a year for each teenage
birth, which is passed on to citizens.
According to Oklahoma Vital Statistics,
Beaver County had a teen birth rate of
41.2 in 2003 which was a 8% decrease
from 2002 (44.8) and a 19% increase since
1993 (34.5).
With an average of 9 births per year, teen
pregnancy costs the citizens of Beaver
County $28,800.00 a year.
Note: 1 births to a mother 10-14 years of age occurred during the 11 year period.
Poverty level Total 50% below 51% to 99%
below
poverty level to
149% above
150% to 199%
above
200% and
above
Population
5,748 226 447 606 574 3,895
Cumulative Population
226 673 1,279 1,853 5,748
% of Total
100.0% 3.9% 7.8% 10.5% 10.0% 67.8%
Cumulative %
3.9% 11.7% 22.3% 32.2% 100.0%
Income to Poverty Ratio, Beaver County, 2000 Census
Page 6 STATE OF THE COUNTY HEALTH REPORT
OK By One - State Immunization Data * 2 Year-old Immunization Sur-vey,
Immunization Service, OSDH
4:3:1:3:3 Coverage by Location of Shots, Oklahoma, 2004
64.0 66.5 64.1
69.7
0.0
10.0
20.0
30.0
40.0
50.0
60.0
70.0
80.0
Provider Type
Percent
Health Dept
Priv Dr.
IHS/Tribal
Other
Adair
Alfalfa
Atoka
Beaver
Beckham
Blaine
Bryan
Caddo
Canadian
Carter
Cherokee
Choctaw
Cimarron
Cleveland
Coal
Comanche
Cotton
Craig
Creek
Custer
Delaware
Dewey
Ellis
Garfield
Garvin
Grady
Grant
Greer
Harmon
Harper
Haskell
Hughes
Jackson
Jefferson
Johnston
Kay
Kingfisher
Kiowa
Latimer
Le Flore
Lincoln
Logan
Love
McClain
McCurtain
MacIntosh
Major
Marshall
Mayes
Murray
Muskogee
Noble
Nowata
Oklahoma Okfuskee
Okmulgee
Osage
Ottawa
Pawnee
Payne
Pittsburg
Pontotoc
Pottawatomie
Pushmataha
Roger Mills
Rogers
Seminole
Sequoyah
Stephens
Texas
Tillman
Tulsa
Wagoner
Washington
Washita
Woods
Woodward
2003-04 Immunization Coverage Rates
80%
70-79%
66-69%
60-65%
50-59%
<50%
Oklahoma Children On Schedule by Antigen, 2004
0
20
40
60
80
100
2 Mth 4 Mth 6 Mth 12 Mth 15-18
Mth
24 Mth
Age Percent
DTaP
IPV
MMR
Hib
HepB
**Note: County level
data will be available
soon.
BEAVER COUNTY
Motor Vehicle-Related Injury Death
• Average 1.6 deaths per year
• $1,120,000.00 in economic costs
per death
• Total—$1,792,000.00 a year
Tobacco Use
• 22.3% of population (1,245)
• $3,300.00 in health care costs
• Total—$4,108,500.00 a year
Diabetes
• 1.6% of population (89 )
• $13,243.00 in healthcare costs a year
• Total—$1,178,627.00 a year
Teen Pregnancy
• Average of 9 births to teen mothers
per year
• $3,200.00 in costs for each birth a
year
• Total— $28,800.00 a year
Cardiovascular Disease (Heart Disease)
• Average 18 deaths a year
• $369,476.69 per death
• Total— $6,650,580.42 a year
Obesity
• 33.7% of population ( 1,881 )
• $395.00 in additional medical costs
per person
• Total—$742,995.00
Page 7
Health Care Costs Summary
County Health Department Usage * PHOCIS, Community
Health Services, OSDH
Grand Total for Beaver County:
$14,501,502.42
Attended Appointments for Beaver County Health Department,
State Fiscal Year 05
Immunizations
WIC
Family Planning Children First
Guidance Maternity
General
Child Health
Adult Services
Communicable
Disease
Chronic Disease
STD
Tuberculosis
Community Health Services
Community Development Service
OKLAHOMA STATE
DEPARTMENT OF HEALTH
Looking Back to Move Forward
Report compiled by:
Miriam McGaugh, M.S.
Community Development Service, OSDH
Kelly Baker, MPH
The Oklahoma Turning Point Initiative is public health
improvement in action. The success of the Turning
Point process involves a partnership between the state
and county departments of health, local communities,
and policy-makers. The Oklahoma Turning point en-gine
is fueled by a community-based decision making
process whereby local communities tap into the ca-pacities,
strengths, and vision of their citizens to create
and promote positive, sustainable changes in the pub-lic
health system, and the public’s health.
Oklahoma Community Partners
in Public Health Innovation
Page 8 STATE OF THE COUNTY’S HEALTH REPORT
Beaver County Health Department
PO Box 520
Beaver, OK 73932
580-625-3693
Beaver County Health Department
PO Box 520
Beaver, OK 73932
580-625-3693
Beaver Health Awareness Partnership
We want to thank all the people and organizations that make the Beaver Health Awareness Partnership such
a huge success. With successes such as helping to recruit a physician and conducting a community health
assessment and future plans of developing a wellness/fitness center, you are paving the way to a healthier
future for all residents of Beaver County. Thank you!
􀂾􋸠 Beaver County Health Department
􀂾􋸠 First Security Bank
􀂾􋸠 Bank of Beaver City
􀂾􋸠 Beaver County Memorial Hospital
􀂾􋸠 Nutrition Site
􀂾􋸠 OSU Extension
􀂾􋸠 Herald Democrat
􀂾􋸠 City of Beaver
􀂾􋸠 Howard Drilling Company
􀂾􋸠 Community Clinic
􀂾􋸠 Downing’s Market
􀂾􋸠 Beaver Senior Citizens
􀂾􋸠 Area Agency on Aging
􀂾􋸠 Hardberger & Smylie
􀂾􋸠 OEDA
􀂾􋸠 Department of Human Services
􀂾􋸠 XCEL Energy
􀂾􋸠 EMT
􀂾􋸠 Howard Auto Supply
􀂾􋸠 Assembly of God Church
􀂾􋸠 O’Laughlin Center, Spearman TX
􀂾􋸠 Chamber of Commerce
􀂾􋸠 Trippett and Kee Law Office
􀂾􋸠 SW Kansas Technical School
􀂾􋸠 M & M Consultants
Beckham County
County Demographics 2
Top 10 Leading Causes of Death 2
Nutrition & Obesity 2
Top 10 Leading Causes of Death Table 3
Injury & Violence 4
Tobacco use 4
Physical Activity, Wellness & Diabetes 4
Inside this issue:
State of the County’s
Health Report
O K L A H O M A S T A T E
D E P A R T M E N T O F H E A L T H
Beckham County
A Look Back To Move Forward
Teen Pregnancy 5
Poverty 5
OK By One—State Immunization Data 6
County Health Department Usage 7
Health Care Costs Summary 7
Turning Point 8
The state of Oklahoma has been in a downward health trend
since the 1990’s, until recently. Through the efforts of the state
and county health departments, state and local governments
and the individual communities the health of Oklahomans is
looking up. However, we could do more to improve the health
of the citizens of Oklahoma.
This report focuses on the health factors for the citizens of
Beckham County. We will take a look back to discover what
has been affecting the health of the citizens in order to move
forward and make healthy, effective and safe changes for all.
Demographics
Top 10 Leading Causes of Death
* Vital Statistics, Health Care
Information Systems, OSDH &
Centers for Disease Control
same rate as the nation, and
health care costs are reflecting
this downward spiral of
health. For persons under the
age of 65, on average, health
care costs are $395 more for
obese individuals and are
even greater for persons
over the age of 65.
In 2001-2005, 24.5%
With the United States coming in as the
most obese country in the world, health
care costs related to obesity and poor
nutrition are on the rise.
Of the 292 million people in the United
States, 129 million are overweight or
obese according to their body mass in-dex
(BMI). The number of obese (BMI
> 29) and overweight (BMI 25-29) Ok-lahomans
has been increasing at the
( 4,874 ) of people in Beckham
County were considered obese
which accounted for an addi-tional
$1,925,230 in medical
costs for the county. These costs
are underestimated because they
do not take into account
the percentage of obese or
overweight persons who
are over the age of 65.
Page 2
Nutrition and Obesity
and is still the leading
cause of death among
all age groups. Accord-ing
to the Centers for
Disease Control, al-most
$400,000 is spent
on each heart disease-related
death. With an
average of 94.7 deaths
a year, heart disease
accounts for almost
$35 million a year in medical costs
The top 10 leading causes of death
table on the next page displays a
broad picture of the causes of death
in Beckham County. Since many
health-related issues are unique to
specific ages, this table provides
causes of death by age group at a
glance. The causes of death that are
present across almost every age
group have been highlighted. From
1983 to 1993 heart disease killed
1,032 people in Beckham County
STATE OF THE COUNTY’S HEALTH REPORT
Sensible Foods — Sensible
Portions
5 to 9 Fruits & Vegetables
a Day
* Behavioral Risk Factor Surveillance Sys-tem,
Health Care Information System, OSDH
& Health Affairs Journal, R. Strum, 2002
* U.S. Census Bureau
• Population estimates
o 5% increase from 1990 to 2000
(18,812 to 19,799)
o 3% decrease from 2000 to 2004
o Ranked 58th for growth in state
2000 Census
• Hispanic/Latino ethnicity = 5%
• Race
o Whites = 87%
o Native Americans =3%
o Blacks =6%
o Other/Multiple = 5%
• Age
o Under 5 = 6%
o Over 64 = 15%
o Median age = 36.6 years
• Housing units
o Occupied = 7,356 (84%)
o Vacant = 1,440 (16%)
• Disability (ages 21 to 64) = 24.8%
national = 19.2% state = 21.5%
• Individuals below poverty = 18.2%
national = 12.4% state = 14.7%
Beckham County Population Growth with Projections
0
5,000
10,000
15,000
20,000
25,000
30,000
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2010
2015
2020
2025
2030
Year
County Population
0.51%
0.52%
0.53%
0.54%
0.55%
0.56%
0.57%
0.58%
0.59%
0.60%
0.61%
Percent of State
Population
Beckham Percent of Population
in Beckham County.
Alzheimer’s disease and the
complications associated
with it have increased from
the 16th ranked cause of
death (1983-1993) to the
10th ranked cause of death in
persons 65 and older ac-counting
for a 380% in-crease
in deaths.
Heart disease
accounts for almost
$35 million a year
in medical costs in
Beckham County.
BECKHAM COUNTY Page 3
Rank 0-4 05-14 15-24 25-34 35-44 45-54 55-64 65+ All Ages
PERINATAL
PERIOD
UNINTENT.
IN JURY
UNINTENT.
IN JURY
UNINTENT.
IN JURY
UNINTENT.
IN JURY
HEART
DISEASE
CANCER
HEART
DISEASE
HEART
DISEASE
9 6 25 14 20 37 98 909 1042
UNINTENT.
IN JURY
AORTIC
ANEURYSM
SUICIDE SUICIDE CANCER CANCER
HEART
DISEASE
CANCER CANCER
6 1 8 6 13 35 79 336 486
SIDS
HEART
DISEASE
CANCER
HEART
DISEASE
HEART
DISEASE
BRONCHITIS/
EMPHYSEMA/
ASTHMA
BRONCHITIS/
EMPHYSEMA/
ASTHMA
STROKE STROKE
4 1 2 4 10 8 18 276 297
CONGENITAL
ANOMALIES
INFLUENZA/
PNEUMONIA
ANEMIA HIV SUICIDE
UNINTENT.
IN JURY
UNINTENT.
IN JURY
BRONCHITIS/
EMPHYSEMA/
ASTHMA
BRONCHITIS/
EMPHYSEMA/
ASTHMA
3 1 1 2 8 8 11 159 186
HOMICIDE/
LEGAL
CANCER
BRONCHITIS/
EMPHYSEMA/
ASTHMA
STROKE STROKE STROKE STROKE
INFLUENZA/
PNEUMONIA
UNINTENT.
IN JURY
2 1 1 1 5 7 7 83 123
ATHERO-SCLEROSIS
OTHER STROKE
HOMICIDE/
LEGAL
HOMICIDE/
LEGAL
LIVER DISEASE
DIABETES
MELLITUS
DIABETES
MELLITUS
INFLUENZA/
PNEUMONIA
1 1 1 1 2 7 6 41 93
HEART
DISEASE
HEART
DISEASE
CANCER
INFLUENZA/
PNEUMONIA
DIABETES
MELLITUS
SEPTICEMIA
(BLOOD
POISOINING)
KIDNEY
DISEASE
DIABETES
MELLITUS
1 1 1 2 6 5 38 53
HERNIA HIV OTHER LIVER DISEASE SUICIDE SUICIDE
SEPTICEMIA
(BLOOD
POISOINING)
SEPTICEMIA
(BLOOD
POISOINING)
1 1 8 2 5 5 37 43
OTHER
HOMICIDE/
LEGAL
CONGENITAL
ANOMALIES
INFLUENZA/
PNEUMONIA
INFLUENZA/
PNEUMONIA
UNINTENT.
IN JURY
KIDNEY
DISEASE
6 1 1 3 3 33 40
INFLUENZA/
PNEUMONIA
TWO CAUSES
TIED
CONGENITAL
ANOMALIES
LIVER DISEASE
ALZHEIMER'S
DISEASE
SUIC IDE
1 1 2 3 24 38
Data source: Vital Statistics , Health Care Information Division, Oklahoma State Department of Health
Produced by: Community Development Service, Community Health Services, Oklahoma State Departm ent of Health
9
10
7
8
Top 10 Causes of Death by Age Group
Beckham County 1993-2003
5
6
1
2
3
4
and suicide) in Beckham County are
ranked in the top 10 in six of the eight age
groups (see Top 10 list on page 3).
problem of the individual but also the
community as a whole. With health
care costs on the rise, tar-geting
areas such as tobacco
use is an effective way to
control those costs.
In 2002, the CDC estimated
that a person that used to-bacco
accrued over $3,300
in health care costs per
year. According to the Be-
According to the 2005 State of the
State’s Health Report, tobacco use
among Oklahomans has remained
fairly stable from 1990 to 2002.
Oklahoma has been consistently
higher in its tobacco use than the
nation and is 30% higher than the
nation on the amount of tobacco
consumed per capita (103 packs vs.
79 packs).
Tobacco use is no longer just the
Across the nation and the state of
Oklahoma, unintentional and violence-related
injuries are on the rise. Unin-tentional
injuries account for the 4th
leading cause of death in the United
States and the 5th leading cause of
death in Oklahoma from 1999-2002.
For persons ages 1 to 44 in Oklahoma,
unintentional injuries are the leading
cause of death.
This trend does not change much in
Beckham County. Unintentional inju-ries
are the leading cause of death from
ages 5 to 44.
It is estimated that for every motor ve-hicle-
related death $1.1 million in eco-nomic
costs are incurred. For
Beckham County which has an average
of 4.4 motor vehicle-related deaths a
year, that translates to almost $5
million a year.
Violence-related injuries (homicide
The increasing inactivity of the U.S.
population is contributing to an increase
in numerous poor health-related out-comes.
Physical inactivity robs the body
of precious energy needed to function
properly, in turn health declines and rates
of various chronic diseases escalate.
According to the 2002-2004 Behavioral
Risk Factor Surveillance System
(BRFSS), it is estimated that 38.8%
Page 4
Tobacco Use
Injury and Violence
Physical Activity, Wellness and Diabetes
STATE OF THE COUNTY’S HEALTH REPORT
* Vital Statistics, Health Care
Information Systems, OSDH &
Centers for Disease Control
* Vital Statistics, Health Care
Information Systems, OSDH &
National Safety Council
* Behavioral Risk Factor Surveil-lance
System, Health Care Infor-mation
System, OSDH & Ameri-can
Diabetes Association, 2002
havioral Risk Factor Surveillance Sys-tem,
it is estimated that 32.3% (6,426)
of people in Beckham
County use tobacco of
some sort. Medical
costs accumulated by
those persons are over
$21 million a year for
Beckham County.
“Medical costs
accumulated by those
persons are over $21
million a year for
Beckham County”
ing diabetes. In 2002, the per
capita annual healthcare costs
for people with diabetes was
$13,243 compared to $2,560
for people without diabetes.
Persons with diabetes accumu-lated
health care costs of
$30,299,984.00 in one year for
Beckham County.
(7,719 ) of people in
Beckham County had no
leisure activity in the past
month at the time they were
surveyed.
The BRFSS also indicated
that 11.5% (2,288 ) of
Beckham County citizens
have been diagnosed by a
health professional as hav-
Increase activity gradually.
Moderate exercise for 30
minutes 5 days a week.
Injury and Violence-Related Deaths in
Beckham County, 1999 - 2003
0
1
2
3
4
5
6
7
8
1999 2000 2001 2002 2003
Year of Death
Number of Deaths
DROWNING FALLS FIRES/BURNS HOMICIDE
MVC POISONINGS SUICIDE
*No homicides/legal intervention or poisoning deaths occurred during this time period
While births to teen mothers (age 15 to
19) are on the decline in both the U.S.
and Oklahoma, Oklahoma has moved
up in rank from 13th to 8th in the
country. In 1993 the rate of teen births
was 60.0 (per 1,000 15-19 year old
females) in the U.S. and 66.6 in
Oklahoma. In 2003, the rate de-creased
to 41.7 in the U.S. and
55.8 in Oklahoma, a decrease of
Page 5
Teen Pregnancy
* Sawhill V., Policy Brief #8, The Brookings Institute; Vi-tal
Statistics, Health Care Information Systems, OSDH &
National Vital Statistics, Centers for Disease Control
BECKHAM COUNTY
Rate of Live Births to Teen Mothers, Ages 15-19,
Beckham County, 1993 to 2003
0
10
20
30
40
50
60
70
80
90
100
1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003
Year
Rate per 1,000 15-19 year old
females
*2003 U.S. data is preliminary Beckham Oklahoma U.S.*
As the nation advances in tech-nology
and the ability to detect
and prevent disease at an ear-lier
stage, persons that are im-poverished
carry a large burden
of poor health outcomes.
Higher incidences of un-planned
or unwanted pregnan-cies,
teen pregnancy, inade-quate
prenatal care, higher rates of
low-birth-weight babies, infant
deaths and low immunization rates
are all associated with poverty
along with a myriad of other ad-verse
health outcomes.
According to the 2000 census,
18.2% of persons in Beckham
County for whom poverty status
was known had an income below
what was needed to live at the
federal poverty level. Beckham
County is 24% above the state
(14.7%) and 46% above the na-tion
(12.4%) for persons with in-comes
below the federal poverty
level.
Poverty * U.S. Census Bureau
31% and 7%, respectively.
Children of teen mothers are more likely
to display poor health and social outcomes
than those of older mothers, such as pre-mature
birth, low birth weight, higher
rates of abuse and neglect, and more likely
to go to foster care or do poorly in school.
Additionally, births to teen mothers accu-mulate
$3,200 a year for each teenage
birth, which is passed on to citizens.
According to Oklahoma Vital Statistics,
Beckham County had a teen birth rate of
76.3 in 2003 which was a 0% decrease
from 2002 (76.5) and a 6% decrease since
1993 (81.5).
With an average of 52 births per year, teen
pregnancy costs the citizens of Beckham
County $166,400.00 a year.
Note: 7 births to a mother 10-14 years of age occurred during the 11 year period.
Poverty level Total 50% below 51% to 99%
below
poverty level to
149% above
150% to 199%
above
200% and
above
Population
17,884 1,224 2,023 2,387 2,277 9,973
Cumulative Population
1,224 3,247 5,634 7,911 17,884
% of Total
100.0% 6.8% 11.3% 13.3% 12.7% 55.8%
Cumulative %
6.8% 18.2% 31.5% 44.2% 100.0%
Income to Poverty Ratio, Beckham County, 2000 Census
Page 6 STATE OF THE COUNTY HEALTH REPORT
OK By One - State Immunization Data * 2 Year-old Immunization Sur-vey,
Immunization Service, OSDH
4:3:1:3:3 Coverage by Location of Shots, Oklahoma, 2004
64.0 66.5 64.1
69.7
0.0
10.0
20.0
30.0
40.0
50.0
60.0
70.0
80.0
Provider Type
Percent
Health Dept
Priv Dr.
IHS/Tribal
Other
Adair
Alfalfa
Atoka
Beaver
Beckham
Blaine
Bryan
Caddo
Canadian
Carter
Cherokee
Choctaw
Cimarron
Cleveland
Coal
Comanche
Cotton
Craig
Creek
Custer
Delaware
Dewey
Ellis
Garfield
Garvin
Grady
Grant
Greer
Harmon
Harper
Haskell
Hughes
Jackson
Jefferson
Johnston
Kay
Kingfisher
Kiowa
Latimer
Le Flore
Lincoln
Logan
Love
McClain
McCurtain
MacIntosh
Major
Marshall
Mayes
Murray
Muskogee
Noble
Nowata
Oklahoma Okfuskee
Okmulgee
Osage
Ottawa
Pawnee
Payne
Pittsburg
Pontotoc
Pottawatomie
Pushmataha
Roger Mills
Rogers
Seminole
Sequoyah
Stephens
Texas
Tillman
Tulsa
Wagoner
Washington
Washita
Woods
Woodward
2003-04 Immunization Coverage Rates
80%
70-79%
66-69%
60-65%
50-59%
<50%
Oklahoma Children On Schedule by Antigen, 2004
0
20
40
60
80
100
2 Mth 4 Mth 6 Mth 12 Mth 15-18
Mth
24 Mth
Age Percent
DTaP
IPV
MMR
Hib
HepB
**Note: County level
data will be available
soon.
BECKHAM COUNTY
Motor Vehicle-Related Injury Death
• Average 4.4 deaths per year
• $1,120,000.00 in economic costs per
death
• Total—$4,928,000.00 a year
Tobacco Use
• 32.3% of population (6,426)
• $3,300.00 in health care costs
• Total - $21,205,800.00 a year
Diabetes
• 11.5% of population (2,288 )
• $13,243.00 in healthcare costs a year
• Total—$30,299,984.00 a year
Teen Pregnancy
• Average of 52 births to teen mothers
per year
• $3,200.00 in costs for each birth a year
• Total— $166,400.00 a year
Cardiovascular Disease (Heart Disease)
• Average 95 deaths a year
• $369,476.69 per death
• Total— $35,100,285.55 a year
Obesity
• 24.5% of population ( 4,874 )
• $395.00 in additional medical costs
per person
• Total—$1,925,230.00
Page 7
Health Care Costs Summary
County Health Department Usage * PHOCIS, Community
Health Services, OSDH
Grand Total for Beckham County:
$93,625,699.55
Attended Appointments for Beckham County Health Department,
State Fiscal Year 05
Immunizations
STD
Child Health
Family Planning
Chronic Disease
Children First
Tuberculosis
Communicable Disease
Adult Services
WIC
Dysplasia
Community Health Services
Community Development Service
OKLAHOMA STATE
DEPARTMENT OF HEALTH
Looking Back to Move Forward
Report compiled by:
Miriam McGaugh, M.S.
Community Development Service, OSDH
Kelly Baker, MPH
Health Care Information Systems, OSDH
The Oklahoma Turning Point Initiative is public health
improvement in action. The success of the Turning
Point process involves a partnership between the state
and county departments of health, local communities,
and policy-makers. The Oklahoma Turning point en-gine
is fueled by a community-based decision making
process whereby local communities tap into the ca-pacities,
strengths, and vision of their citizens to create
and promote positive, sustainable changes in the pub-lic
health system, and the public’s health.
Oklahoma Community Partners
in P ublic H ealth In novation
Page 8 STATE OF THE COUNTY’S HEALTH REPORT
1000 NE 10th St, Room 508
Oklahoma City, OK 73117
Phone: 405-271-6127
Fax: 405-271-1225
Email: miriamm@health.ok.gov
Beckham County Health Department
400 East Third St
Elk City, OK 73644
580-225-1173
Blaine County
County Demographics 2
Top 10 Leading Causes of Death 2
Nutrition & Obesity 2
Top 10 Leading Causes of Death Table 3
Injury & Violence 4
Tobacco use 4
Physical Activity, Wellness & Diabetes 4
Inside this issue:
State of the County’s
Health Report
O K L A H O M A S T A T E
D E P A R T M E N T O F H E A L T H
Blaine County
A Look Back To Move Forward
Teen Pregnancy 5
Poverty 5
OK By One—State Immunization Data 6
County Health Department Usage 7
Health Care Costs Summary 7
Turning Point 8
The state of Oklahoma has been in a downward health trend
since the 1990’s, until recently. Through the efforts of the state
and county health departments, state and local governments
and the individual communities the health of Oklahomans is
looking up. However, we could do more to improve the health
of the citizens of Oklahoma.
This report focuses on the health factors for the citizens of
Blaine County. We will take a look back to discover what has
been affecting the health of the citizens in order to move for-ward
and make healthy, effective and safe changes for all.
Demographics
Top 10 Leading Causes of Death
* Vital Statistics, Health Care
Information Systems, OSDH &
Centers for Disease Control
same rate as the nation, and
health care costs are reflecting
this downward spiral of
health. For persons under the
age of 65, on average, health
care costs are $395 more for
obese individuals and are
even greater for persons
over the age of 65.
In 2002-2004, 36.6%
With the United States coming in as the
most obese country in the world, health
care costs related to obesity and poor
nutrition are on the rise.
Of the 292 million people in the United
States, 129 million are overweight or
obese according to their body mass in-dex
(BMI). The number of obese (BMI
> 29) and overweight (BMI 25-29) Ok-lahomans
has been increasing at the
( 4,274 ) of people in Blaine
County were considered obese
which accounted for an addi-tional
$1,688,230 in medical
costs for the county. These costs
are underestimated because they
do not take into account
the percentage of obese or
overweight persons who
are over the age of 65.
Page 2
Nutrition and Obesity
still the leading cause
of death among all age
groups. According to
the Centers for Disease
Control, almost
$400,000 is spent on
each heart disease-related
death. With an
average of 61.9 deaths
a year, heart disease
accounts for almost
$23 million a year in medical costs
The top 10 leading causes of death
table on the next page displays a
broad picture of the causes of death
in Blaine County. Since many
health-related issues are unique to
specific ages, this table provides
causes of death by age group at a
glance. The causes of death that are
present across almost every age
group have been highlighted. From
1983 to 1993 heart disease killed
767 people in Blaine County and is
STATE OF THE COUNTY’S HEALTH REPORT
Sensible Foods — Sensible
Portions
5 to 9 Fruits & Vegetables
a Day
* Behavioral Risk Factor Surveillance Sys-tem,
Health Care Information System, OSDH
& Health Affairs Journal, R. Strum, 2002
* U.S. Census Bureau
• Population estimates
o 4% increase from 1990 to 2000
(11,470 to 11,976)
o 6% decrease from 2000 to 2004
o Ranked 73rd for growth in state
2000 Census
• Hispanic/Latino ethnicity = 7%
• Race
o Whites = 76%
o Native Americans =9%
o Blacks =7%
o Other/Multiple = 8%
• Age
o Under 5 = 6%
o Over 64 = 17%
o Median age = 37.6 years
• Housing units
o Occupied = 4,159 (80%)
o Vacant = 1,049 (20%)
• Disability (ages 21 to 64) = 20.7%
national = 19.2% state = 21.5%
• Individuals below poverty = 16.9%
national = 12.4% state = 14.7%
Blaine County Population Growth with Projections
0
2,000
4,000
6,000
8,000
10,000
12,000
14,000
16,000
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2010
2015
2020
2025
2030
Year
County Population
0.29%
0.30%
0.31%
0.32%
0.33%
0.34%
0.35%
0.36%
0.37%
0.38%
Percent of State
Population
Blaine Percent of Population
in Blaine County.
Alzheimer’s disease and
the complications associ-ated
with it have increased
from the 18th ranked cause
of death (1983-1993) to
the 11th ranked cause of
death in persons 65 and
older accounting for a
250% increase in deaths.
Heart disease
accounts for almost
$23 million a year in
medical costs in
Blaine County.
BLAINE COUNTY Page 3
Rank 0-4 05-14 15-24 25-34 35-44 45-54 55-64 65+ All Ages
CONGENITAL
ANOMALIES
UNINTENT.
IN JURY
UNINTENT.
IN JURY
UNINTENT.
IN JURY
UNINTENT.
IN JURY
HEART
DISEASE
HEART
DISEASE
HEART
DISEASE
HEART
DISEASE
5 5 9 15 15 23 51 594 681
PERINATAL
PERIOD
SUIC IDE
HOMICIDE/
LEGAL
HEART
DISEASE
CANCER CANCER CANCER CANCER
4 5 3 11 15 48 275 345
HOMICIDE/
LEGAL
HOMICIDE/
LEGAL
SUIC IDE CANCER
UNINTENT.
IN JURY
STROKE STROKE STROKE
2 2 3 6 11 8 102 116
SIDS HERNIA STROKE
INFLUENZA/
PNEUMONIA
STROKE
UNINTENT.
IN JURY
INFLUENZA/
PNEUMONIA
INFLUENZA/
PNEUMONIA
2 1 2 2 4 7 96 100
UNINTENT.
IN JURY
HEART
DISEASE
LIVER DISEASE LIVER DISEASE
BRONCHITIS/
EMPHYSEMA/
ASTHMA
BRONCHITIS/
EMPHYSEMA/
ASTHMA
UNINTENT.
IN JURY
2 2 2 4 6 68 98
OTHER HIV
GALLBLADDER
DISORDER
DIABETES
MELLITUS
DIABETES
MELLITUS
DIABETES
MELLITUS
BRONCHITIS/
EMPHYSEMA/
ASTHMA
5 1 1 3 4 41 74
CANCER HIV SUICIDE HYPERTENSION
UNINTENT.
IN JURY
DIABETES
MELLITUS
1 1 3 2 34 48
KIDNEY
DISEASE
MENINGITIS
KIDNEY
DISEASE
LIVER DISEASE
KIDNEY
DISEASE
KIDNEY
DISEASE
1 1 2 2 31 34
OTHER SUICIDE
VIRAL
HEPATITIS
SUIC IDE PNUEMONITIS SUIC IDE
5 1 2 2 17 20
OTHER
THREE CAUSES
TIED
SIX CAUSES
TIED
SEPTICEMIA
(BLOOD
POISOINING)
PNUEMONITIS
10 1 1 15 18
Data source: Vital Statistics , Health Care Information Division, Oklahoma State Department of Health
Produced by: Community Development Service, Community Health Services, Oklahoma State Departm ent of Health
Top 10 Causes of Death by Age Group
Blaine County 1993-2003
5
6
1
2
3
4
9
10
7
8
and suicide) in Blaine County are ranked in
the top 10 in sixof the eight age groups (see
Top 10 list on page 3).
problem of the individual but also the
community as a whole. With health
care costs on the rise, tar-geting
areas such as tobacco
use is an effective way to
control those costs.
In 2002, the CDC estimated
that a person that used to-bacco
accrued over $3,300
in health care costs per
year. According to the Be-
According to the 2005 State of the
State’s Health Report, tobacco use
among Oklahomans has remained
fairly stable from 1990 to 2002.
Oklahoma has been consistently
higher in its tobacco use than the
nation and is 30% higher than the
nation on the amount of tobacco
consumed per capita (103 packs vs.
79 packs).
Tobacco use is no longer just the
Across the nation and the state of
Oklahoma, unintentional and violence-related
injuries are on the rise. Unin-tentional
injuries account for the 4th
leading cause of death in the United
States and the 5th leading cause of
death in Oklahoma from 1999-2002.
For persons ages 1 to 44 in Oklahoma,
unintentional injuries are the leading
cause of death.
This trend does not change much in
Blaine County. Unintentional injuries
are the leading cause of death from
ages 5 to 44.
It is estimated that for every motor ve-hicle-
related death $1.1 million in eco-nomic
costs are incurred. For Blaine
County which has an average of 4.8
motor vehicle-related deaths a year,
that translates to over $5 million a
year.
Violence-related injuries (homicide
The increasing inactivity of the U.S.
population is contributing to an increase
in numerous poor health-related out-comes.
Physical inactivity robs the body
of precious energy needed to function
properly, in turn health declines and rates
of various chronic diseases escalate.
According to the 2002-2004 Behavioral
Risk Factor Surveillance System
(BRFSS), it is estimated that 34.8%
Page 4
Tobacco Use
Injury and Violence
Physical Activity, Wellness and Diabetes
STATE OF THE COUNTY’S HEALTH REPORT
* Vital Statistics, Health Care
Information Systems, OSDH &
Centers for Disease Control
* Vital Statistics, Health Care
Information Systems, OSDH &
National Safety Council
* Behavioral Risk Factor Surveil-lance
System, Health Care Infor-mation
System, OSDH & Ameri-can
Diabetes Association, 2002
havioral Risk Factor Surveillance Sys-tem,
it is estimated that 32.4% (3,784)
of people in Blaine
County use tobacco of
some sort. Medical
costs accumulated by
those persons are over
$12 million a year for
Blaine County.
“Medical costs
accumulated by those
persons are over $12
million a year for Blaine
County”
tes. In 2002, the per capita
annual healthcare costs for
people with diabetes was
$13,243 compared to $2,560
for people without diabetes.
Persons with diabetes accumu-lated
health care costs of
$12,527,878.00 in one year for
Blaine County.
(4,064 ) of people in Blaine
County had no leisure ac-tivity
in the past month at
the time they were sur-veyed.
The BRFSS also indicated
that 8.1% (946 ) of Blaine
County citizens have been
diagnosed by a health pro-fessional
as having diabe-
Increase activity gradually.
Moderate exercise for 30
minutes 5 days a week.
Injury and Violence-Related Deaths in
Blaine County, 1999 - 2003
0
1
2
3
4
5
6
7
8
1999 2000 2001 2002 2003
Year of Death
Number of Deaths
DROWNING FALLS FIRES/BURNS HOMICIDE
MVC POISONINGS SUICIDE
While births to teen mothers (age 15 to
19) are on the decline in both the U.S.
and Oklahoma, Oklahoma has moved
up in rank from 13th to 8th in the
country. In 1993 the rate of teen births
was 60.0 (per 1,000 15-19 year old
females) in the U.S. and 66.6 in
Oklahoma. In 2003, the rate de-creased
to 41.7 in the U.S. and
55.8 in Oklahoma, a decrease of
Page 5
Teen Pregnancy
* Sawhill V., Policy Brief #8, The Brookings Institute; Vi-tal
Statistics, Health Care Information Systems, OSDH &
National Vital Statistics, Centers for Disease Control
BLAINE COUNTY
Rate of Live Births to Teen Mothers,Ages 15-19,
Blaine County, 1993 to 2003
0
10
20
30
40
50
60
70
80
90
100
1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003
Year
Rate per 1,000 15-19 year
old females
*2003 U.S. data is preliminary Blaine Oklahoma U.S.*
As the nation advances in tech-nology
and the ability to detect
and prevent disease at an ear-lier
stage, persons that are im-poverished
carry a large burden
of poor health outcomes.
Higher incidences of un-planned
or unwanted pregnan-cies,
teen pregnancy, inade-quate
prenatal care, higher rates of
low-birth-weight babies, infant
deaths and low immunization rates
are all associated with poverty
along with a myriad of other ad-verse
health outcomes.
According to the 2000 census,
16.9% of persons in Blaine County
for whom poverty status was
known had an income below what
was needed to live at the federal
poverty level. Blaine County is
15% above the state (14.7%) and
36% above the nation (12.4%)
for persons with incomes below
the federal poverty level.
Poverty * U.S. Census Bureau
31% and 7%, respectively.
Children of teen mothers are more likely
to display poor health and social outcomes
than those of older mothers, such as pre-mature
birth, low birth weight, higher
rates of abuse and neglect, and more likely
to go to foster care or do poorly in school.
Additionally, births to teen mothers accu-mulate
$3,200 a year for each teenage
birth, which is passed on to citizens.
According to Oklahoma Vital Statistics,
Blaine County had a teen birth rate of 76.1
in 2003 which was a 111% increase from
2002 (36.1) but a 8% decrease since 1993
(82.7).
With an average of 29 births per year, teen
pregnancy costs the citizens of Blaine
County $92,800.00 a year.
Note: 4 births to a mother 10-14 years of age occurred during the 11 year period.
Poverty level Total 50% below 51% to 99%
below
poverty level to
149% above
150% to 199%
above
200% and
above
Population
10,378 549 1,202 1,408 1,322 5,897
Cumulative Population
549 1,751 3,159 4,481 10,378
% of Total
100.0% 5.3% 11.6% 13.6% 12.7% 56.8%
Cumulative %
5.3% 16.9% 30.4% 43.2% 100.0%
Income to Poverty Ratio, Blaine County, 2000 Census
Page 6 STATE OF THE COUNTY HEALTH REPORT
OK By One - State Immunization Data * 2 Year-old Immunization Sur-vey,
Immunization Service, OSDH
4:3:1:3:3 Coverage by Location of Shots, Oklahoma, 2004
64.0 66.5 64.1
69.7
0.0
10.0
20.0
30.0
40.0
50.0
60.0
70.0
80.0
Provider Type
Percent
Health Dept
Priv Dr.
IHS/Tribal
Other
Adair
Alfalfa
Atoka
Beaver
Beckham
Blaine
Bryan
Caddo
Canadian
Carter
Cherokee
Choctaw
Cimarron
Cleveland
Coal
Comanche
Cotton
Craig
Creek
Custer
Delaware
Dewey
Ellis
Garfield
Garvin
Grady
Grant
Greer
Harmon
Harper
Haskell
Hughes
Jackson
Jefferson
Johnston
Kay
Kingfisher
Kiowa
Latimer
Le Flore
Lincoln
Logan
Love
McClain
McCurtain
MacIntosh
Major
Marshall
Mayes
Murray
Muskogee
Noble
Nowata
Oklahoma Okfuskee
Okmulgee
Osage
Ottawa
Pawnee
Payne
Pittsburg
Pontotoc
Pottawatomie
Pushmataha
Roger Mills
Rogers
Seminole
Sequoyah
Stephens
Texas
Tillman
Tulsa
Wagoner
Washington
Washita
Woods
Woodward
2003-04 Immunization Coverage Rates
80%
70-79%
66-69%
60-65%
50-59%
<50%
Oklahoma Children On Schedule by Antigen, 2004
0
20
40
60
80
100
2 Mth 4 Mth 6 Mth 12 Mth 15-18
Mth
24 Mth
Age Percent
DTaP
IPV
MMR
Hib
HepB
**Note: County level
data will be available
soon.
BLAINE COUNTY
Motor Vehicle-Related Injury Death
• Average 4.8 deaths per year
• $1,120,000.00 in economic costs
per death
• Total—$5,376,000.00 a year
Tobacco Use
• 32.4% of population (3,784)
• $3,300.00 in health care costs
• Total—$12,487,200.00 a year
Diabetes
• 8.1% of population (946 )
• $13,243.00 in healthcare costs a year
• Total—$12,527,878.00 a year
Teen Pregnancy
• Average of 29 births to teen mothers
per year
• $3,200.00 in costs for each birth a
year
• Total— $92,800.00 a year
Cardiovascular Disease (Heart Disease)
• Average 62 deaths a year
• $369,476.69 per death
• Total— $22,907,554.78 a year
Obesity
• 36.6% of population ( 4,274 )
• $395.00 in additional medical costs
per person
• Total—$1,688,230.00
Page 7
County Health Department Usage * PHOCIS, Community
Health Services, OSDH
Grand Total for Blaine County:
$55,079,662.78
Attended Appointments for Blaine County Health Department,
State Fiscal Year 05
Immunizations
WIC
Family Planning
Children First
Tuberculosis
Child Health
Take Charge! Dysplasia
Maternity
Adult Services
Adolescent Health
Chronic Disease
General
STD
Guidance
Communicable Disease
Health Care Costs Summary
Community Health Services
Community Development Service
OKLAHOMA STATE
DEPARTMENT OF HEALTH
Looking Back to Move Forward
Report compiled by:
Miriam McGaugh, M.S.
Community Development Service, OSDH
Kelly Baker, MPH
Health Care Information Systems, OSDH
The Oklahoma Turning Point Initiative is public health
improvement in action. The success of the Turning
Point process involves a partnership between the state
and county departments of health, local communities,
and policy-makers. The Oklahoma Turning point en-gine
is fueled by a community-based decision making
process whereby local communities tap into the ca-pacities,
strengths, and vision of their citizens to create
and promote positive, sustainable changes in the pub-lic
health system, and the public’s health.
Page 8 STATE OF THE COUNTY’S HEALTH REPORT
1000 NE 10th St, Rm 508
Oklahoma City, OK 73117
Phone: 405-271-6127
Fax: 405-271-1225
Email: neil@health.ok.gov
Blaine County Health Department
521 W 4th
Watonga, OK 73772
580-623-7977
Oklahoma Community Partners
in Public Health Innovation
Blaine County Community Health Action Team & Geary Community Health Care
We want to say thank you to all the members of the Blaine County Community
Health Action Team and Geary Community Health Care.
Blaine County Community
Health Action Team
• Blaine County Health Department
• Roman Nose State Park
• Department of Human Services
• Oklahoma Commission for
Children and Youth
• YWCA
• Business Owners
• Preventionworks
• Watonga Police Department
• Faith Community
• County Judge
Geary Community Health Care
• Geary Schools
• Parkview Hospital
• Chamber of Commerce
• Emergency Medical Services
• Nursing Home Board
• Local Physicians
• Local Pharmacist
• Concerned Citizens
• Local Business
• Blaine County Health Department
Bryan County
County Demographics 2
Top 10 Leading Causes of Death 2
Nutrition & Obesity 2
Top 10 Leading Causes of Death Table 3
Injury & Violence 4
Tobacco use 4
Physical Activity, Wellness & Diabetes 4
Inside this issue:
State of the County’s
Health Report
O K L A H O M A S T A T E
D E P A R T M E N T O F H E A L T H
Bryan County
A Look Back To Move Forward
Teen Pregnancy 5
Poverty 5
OK By One—State Immunization Data 6
County Health Department Usage 7
Health Care Costs Summary 7
Turning Point 8
The state of Oklahoma has been in a downward health trend
since the 1990’s, until recently. Through the efforts of the state
and county health departments, state and local governments
and the individual communities the health of Oklahomans is
looking up. However, we could do more to improve the health
of the citizens of Oklahoma.
This report focuses on the health factors for the citizens of
Bryan County. We will take a look back to discover what has
been affecting the health of the citizens in order to move for-ward
and make healthy, effective and safe changes for all.
Demographics
Top 10 Leading Causes of Death
* Vital Statistics, Health Care
Information Systems, OSDH &
Centers for Disease Control
same rate as the nation, and
health care costs are reflecting
this downward spiral of
health. For persons under the
age of 65, on average, health
care costs are $395 more for
obese individuals and are
even greater for persons
over the age of 65.
In 2002-2004, 17.1%
With the United States coming in as the
most obese country in the world, health
care costs related to obesity and poor
nutrition are on the rise.
Of the 292 million people in the United
States, 129 million are overweight or
obese according to their body mass in-dex
(BMI). The number of obese (BMI
> 29) and overweight (BMI 25-29) Ok-lahomans
has been increasing at the
( 6,379 ) of people in Bryan
County were considered obese
which accounted for an addi-tional
$2,519,705 in medical
costs for the county. These costs
are underestimated because they
do not take into account
the percentage of obese or
overweight persons who
are over the age of 65.
Page 2
Nutrition and Obesity
is still the leading cause
of death among all age
groups. According the
Centers for Disease
Control, almost
$400,000 is spent on
each heart disease-related
death. With an
average of 136.2 deaths
a year, heart disease
accounts for over $50
million a year in medical costs in
The top 10 leading causes of death
table on the next page displays a
broad picture of the causes of death
in Bryan County. Since many
health-related issues are unique to
specific ages, this table provides
causes of death by age group at a
glance. The causes of death that are
present across almost every age
group have been highlighted. From
1983 to 1993 heart disease killed
1,529 people in Bryan County and
STATE OF THE COUNTY’S HEALTH REPORT
Sensible Foods — Sensible
Portions
5 to 9 Fruits & Vegetables
a Day
* Behavioral Risk Factor Surveillance Sys-tem,
Health Care Information System, OSDH
& Health Affairs Journal, R. Strum, 2002
* U.S. Census Bureau
• Population estimates
o 14% increase from 1990 to 2000
(32,089 to 36,534)
o 3% increase from 2000 to 2004
o Ranked 13th for growth in state
2000 Census
• Hispanic/Latino ethnicity = 3%
• Race
o Whites = 80%
o Native Americans =«Indian %»
o Blacks =1%
o Other/Multiple = 6%
• Age
o Under 5 = 6%
o Over 64 = 15%
o Median age = 35.8 years
• Housing units
o Occupied = 14,422 (86%)
o Vacant = 2,293 (14%)
• Disability (ages 21 to 64) = 26.3%
national = 19.2% state = 21.5%
• Individuals below poverty = 18.4%
national = 12.4% state = 14.7%
Bryan County Population Growth with Projections
0
10,000
20,000
30,000
40,000
50,000
60,000
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2010
2015
2020
2025
2030
Year
County Population
0.90%
0.95%
1.00%
1.05%
1.10%
1.15%
1.20%
Percent of State
Population
Bryan Percent of Population
Bryan County.
Alzheimer’s disease and
the complications associ-ated
with it have increased
from the 16th ranked cause
of death (1983-1993) to
the 10th ranked cause of
death in persons 65 and
older accounting for a
173% increase in deaths.
Heart disease
accounts for over
$50 million a year in
medical costs in
BryanCounty.
BRYAN COUNTY Page 3
Rank 0-4 05-14 15-24 25-34 35-44 45-54 55-64 65+ All Ages
PERINATAL
PERIOD
UNINTENT.
INJURY
UNINTENT.
INJURY
UNINTENT.
INJURY
UNINTENT.
INJURY
CANCER CANCER
HEART
DISEASE
HEART
DISEASE
15 11 23 28 31 69 166 1261 1499
CONGENITAL
ANOMALIES
BRONCHITIS/
EMPHYSEMA/
ASTHMA
SUICIDE
HEART
DISEASE
HEART
DISEASE
HEART
DISEASE
HEART
DISEASE
CANCER CANCER
4 1 13 7 25 53 148 689 943
UNINTENT.
INJURY
HEART
DISEASE
HOMICIDE/
LEGAL
SUICIDE CANCER
UNINTENT.
INJURY
BRONCHITIS/
EMPHYSEMA/
ASTHMA
STROKE STROKE
3 1 3 6 13 14 20 202 229
HOMICIDE/
LEGAL
HOMICIDE/
LEGAL
HEART
DISEASE
HOMICIDE/
LEGAL
SUICIDE LIVER DISEASE STROKE
INFLUENZA/
PNEUMONIA
BRONCHITIS/
EMPHYSEMA/
ASTHMA
2 1 2 5 12 12 16 182 202
SEPTICEMIA
(BLOOD
POISOINING)
CANCER
INFLUENZA/
PNEUMONIA
CANCER HIV
DIABETES
MELLITUS
UNINTENT.
INJURY
BRONCHITIS/
EMPHYSEMA/
ASTHMA
UNINTENT.
INJURY
2 1 1 4 5 10 14 174 202
SIDS OTHER OTHER STROKE
VIRAL
HEPATITIS
SUICIDE
DIABETES
MELLITUS
DIABETES
MELLITUS
INFLUENZA/
PNEUMONIA
2 2 6 2 5 9 13 97 199
HEART
DISEASE
HIV STROKE STROKE
INFLUENZA/
PNEUMONIA
KIDNEY
DISEASE
DIABETES
MELLITUS
1 2 4 5 11 81 125
INFLUENZA/
PNEUMONIA
DIABETES
MELLITUS
DIABETES
MELLITUS
BRONCHITIS/
EMPHYSEMA/
ASTHMA
LIVER DISEASE
SEPTICEMIA
(BLOOD
POISOINING)
SEPTICEMIA
(BLOOD
POISOINING)
1 1 4 4 7 78 85
CANCER OTHER
BRONCHITIS/
EMPHYSEMA/
ASTHMA
HOMICIDE/
LEGAL
SUICIDE
UNINTENT.
INJURY
KIDNEY
DISEASE
1 15 3 4 7 78 83
OTHER
HOMICIDE/
LEGAL
THREE CAUSES
TIED
HYPERTENSION
ALZHEIMER'S
DISEASE
SUICIDE
8 3 2 4 30 60
Data source: Vital Statistics , Health Care Information Division, Oklahoma State Department of Health
Produced by: Community Development Service, Community Health Services, OK State Dept. of Health July-05
Top 10 Causes of Death by Age Group
Bryan County 1993-2003
5
6
1
2
3
4
9
10
7
8
and suicide) in Bryan County are ranked in
the top 10 in Seven of the eight age groups
(see Top 10 list on page 3).
problem of the individual but also the
community as a whole. With health
care costs on the rise, tar-geting
areas such as tobacco
use is an effective way to
control those costs.
In 2002, the CDC estimated
that a person that used to-bacco
accrued over $3,300
in health care costs per
year. According to the Be-
According to the 2005 State of the
State’s Health Report, tobacco use
among Oklahomans has remained
fairly stable from 1990 to 2002.
Oklahoma has been consistently
higher in its tobacco use than the
nation and is 30% higher than the
nation on the amount of tobacco
consumed per capita (103 packs vs.
79 packs).
Tobacco use is no longer just the
Across the nation and the state of
Oklahoma, unintentional and violence-related
injuries are on the rise. Unin-tentional
injuries account for the 4th
leading cause of death in the United
States and the 5th leading cause of
death in Oklahoma from 1999-2002.
For persons ages 1 to 44 in Oklahoma,
unintentional injuries are the leading
cause of death.
This trend does not change much in
Bryan County. Unintentional injuries
are the leading cause of death from
ages 5 to 44.
It is estimated that for every motor ve-hicle-
related death $1.1 million in eco-nomic
costs are incurred. For Bryan
County which has an average of 9.4
motor vehicle-related deaths a year,
that translates to almost $11 million
a year.
Violence-related injuries (homicide
The increasing inactivity of the U.S.
population is contributing to an increase
in numerous poor health-related out-comes.
Physical inactivity robs the body
of precious energy needed to function
properly, in turn health declines and rates
of various chronic diseases escalate.
According to the 2002-2004 Behavioral
Risk Factor Surveillance System
(BRFSS), it is estimated that 30.7%
Page 4
Tobacco Use
Injury and Violence
Physical Activity, Wellness and Diabetes
STATE OF THE COUNTY’S HEALTH REPORT
* Vital Statistics, Health Care
Information Systems, OSDH &
Centers for Disease Control
* Vital Statistics, Health Care
Information Systems, OSDH &
National Safety Council
* Behavioral Risk Factor Surveil-lance
System, Health Care Infor-mation
System, OSDH & Ameri-can
Diabetes Association, 2002
havioral Risk Factor Surveillance Sys-tem,
it is estimated that 35.6% (13,281)
of people in Bryan
County use tobacco of
some sort. Medical
costs accumulated by
those persons are al-most
$44 million a
year for Bryan
County.
“Medical costs
accumulated by those
persons are almost $44
million a year for Bryan
County”
tes. In 2002, the per capita
annual healthcare costs for
people with diabetes was
$13,243 compared to $2,560
for people without diabetes.
Persons with diabetes accumu-lated
health care costs of
$36,060,689.00 in one year for
Bryan County.
(11,453 ) of people in
Bryan County had no lei-sure
activity in the past
month at the time they were
surveyed.
The BRFSS also indicated
that 7.3% (2,723 ) of Bryan
County citizens have been
diagnosed by a health pro-fessional
as having diabe-
Increase activity gradually.
Moderate exercise for 30
minutes 5 days a week.
Injury and Violence-Related Deaths in Bryan County, 1999 -
2003
0
2
4
6
8
10
12
14
16
1999 2000 2001 2002 2003
Year of Death
Number of Deaths
DROWNING FALLS FIRES/BURNS HOMICIDE
MVC POISONINGS SUICIDE
While births to teen mothers (age 15 to
19) are on the decline in both the U.S.
and Oklahoma, Oklahoma has moved
up in rank from 13th to 8th in the
country. In 1993 the rate of teen births
was 60.0 (per 1,000 15-19 year old
females) in the U.S. and 66.6 in
Oklahoma. In 2003, the rate de-creased
to 41.7 in the U.S. and
55.8 in Oklahoma, a decrease of
Page 5
Teen Pregnancy
* Sawhill V., Policy Brief #8, The Brookings Institute; Vi-tal
Statistics, Health Care Information Systems, OSDH &
National Vital Statistics, Centers for Disease Control
BRYAN COUNTY
Rate of Live Births to Teen Mothers,Ages 15-19, Bryan
County, 1993 to 2003
0
10
20
30
40
50
60
70
80
1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003
Year
Rate per 1,000 15-19 year old
females
*2003 U.S. data is preliminary Bryan Oklahoma U.S.*
As the nation advances in tech-nology
and the ability to detect
and prevent disease at an ear-lier
stage, persons that are im-poverished
carry a large burden
of poor health outcomes.
Higher incidences of un-planned
or unwanted pregnan-cies,
teen pregnancy, inade-quate
prenatal care, higher rates of
low-birth-weight babies, infant
deaths and low immunization rates
are all associated with poverty
along with a myriad of other ad-verse
health outcomes.
According to the 2000 census,
18.4% of persons in Bryan County
for whom poverty status was
known had an income below what
was needed to live at the federal
poverty level. Bryan County is
25% above the state (14.7%) and
48% above the nation (12.4%)
for persons with incomes below
the federal poverty level.
Poverty * U.S. Census Bureau
31% and 7%, respectively.
Children of teen mothers are more likely
to display poor health and social outcomes
than those of older mothers, such as pre-mature
birth, low birth weight, higher
rates of abuse and neglect, and more likely
to go to foster care or do poorly in school.
Additionally, births to teen mothers accu-mulate
$3,200 a year for each teenage
birth, which is passed on to citizens.
According to Oklahoma Vital Statistics,
Bryan County had a teen birth rate of 63.2
in 2003 which was a 8% decrease from
2002 (68.4) and a 14% decrease since
1993 (73.9).
With an average of 89 births per year, teen
pregnancy costs the citizens of Bryan
County $284,800.00 a year.
Note: 15 births to a mother 10-14 years of age occurred during the 11 year period.
Poverty level Total 50% below 51% to 99%
below
poverty level to
149% above
150% to 199%
above
200% and
above
Population
35,521 2,503 4,026 4,653 4,679 19,660
Cumulative Population
2,503 6,529 11,182 15,861 35,521
% of Total
100.0% 7.0% 11.3% 13.1% 13.2% 55.3%
Cumulative %
7.0% 18.4% 31.5% 44.7% 100.0%
Income to Poverty Ratio, Bryan County, 2000 Census
Page 6 STATE OF THE COUNTY HEALTH REPORT
OK By One - State Immunization Data * 2 Year-old Immunization Sur-vey,
Immunization Service, OSDH
4:3:1:3:3 Coverage by Location of Shots, Oklahoma, 2004
64.0 66.5 64.1
69.7
0.0
10.0
20.0
30.0
40.0
50.0
60.0
70.0
80.0
Provider Type
Percent
Health Dept
Priv Dr.
IHS/Tribal
Other
Adair
Alfalfa
Atoka
Beaver
Beckham
Blaine
Bryan
Caddo
Canadian
Carter
Cherokee
Choctaw
Cimarron
Cleveland
Coal
Comanche
Cotton
Craig
Creek
Custer
Delaware
Dewey
Ellis
Garfield
Garvin
Grady
Grant
Greer
Harmon
Harper
Haskell
Hughes
Jackson
Jefferson
Johnston
Kay
Kingfisher
Kiowa
Latimer
Le Flore
Lincoln
Logan
Love
McClain
McCurtain
MacIntosh
Major
Marshall
Mayes
Murray
Muskogee
Noble
Nowata
Oklahoma Okfuskee
Okmulgee
Osage
Ottawa
Pawnee
Payne
Pittsburg
Pontotoc
Pottawatomie
Pushmataha
Roger Mills
Rogers
Seminole
Sequoyah
Stephens
Texas
Tillman
Tulsa
Wagoner
Washington
Washita
Woods
Woodward
2003-04 Immunization Coverage Rates
80%
70-79%
66-69%
60-65%
50-59%
<50%
Oklahoma Children On Schedule by Antigen, 2004
0
20
40
60
80
100
2 Mth 4 Mth 6 Mth 12 Mth 15-18
Mth
24 Mth
Age Percent
DTaP
IPV
MMR
Hib
HepB
**Note: County level
data will be available
soon.
Attended Appointments for Bryan County Health Department,
State Fiscal Year 05
Immunizations
WIC
Family Planning
Early Intervention
Children First
Communicable Disease
Guidance
Take Charge!
Adolescent Health
General
Dysplasia Chronic Disease
Adult Services
STD
Child Health
Tuberculosis
BRYAN COUNTY
Motor Vehicle-Related Injury Death
• Average 9.4 deaths per year
• $1,120,000.00 in economic costs
per death
• Total—$10,528,000.00 a year
Tobacco Use
• 35.6% of population (13,281)
• $3,300.00 in health care costs
• Total—$43,827,300.00 a year
Diabetes
• 7.3% of population (2,723 )
• $13,243.00 in healthcare costs a year
• Total—$36,060,689.00 a year
Teen Pregnancy
• Average of 89 births to teen mothers
per year
• $3,200.00 in costs for each birth a
year
• Total— $284,800.00 a year
Cardiovascular Disease (Heart Disease)
• Average 136 deaths a year
• $369,476.69 per death
• Total— $50,248,829.84 a year
Obesity
• 17.1% of population ( 6,379 )
• $395.00 in additional medical costs
per person
• Total—$2,519,705.00
Page 7
Health Care Costs Summary
County Health Department Usage * PHOCIS, Community
Health Services, OSDH
Grand Total for Bryan County:
$143,469,323.84
1000 NE 10th St, Rm 508
Oklahoma City, OK 73117
Phone: 405-271-6127
Fax: 405-271-1225
Email: neil@health.ok.gov
Community Health Services
Community Development Service
OKLAHOMA STATE
DEPARTMENT OF HEALTH
Looking Back to Move Forward
Report compiled by:
Miriam McGaugh, M.S.
Community Development Service, OSDH
Kelly Baker, MPH
Health Care Information Systems, OSDH
Bryan County Turning Point Coalition
The Oklahoma Turning Point Initiative is public health
improvement in action. The success of the Turning
Point process involves a partnership between the state
and county departments of health, local communities,
and policy-makers. The Oklahoma Turning point en-gine
is fueled by a community-based decision making
process whereby local communities tap into the ca-pacities,
strengths, and vision of their citizens to create
and promote positive, sustainable changes in the pub-lic
health system, and the public’s health.
Bryan County Health Department
1524 W Chuckwa
PO Box 598
Durant, Oklahoma 74702-0598
580-924-4285
Oklahoma Community Partners
in Public Health Innovation
Page 8 STATE OF THE COUNTY’S HEALTH REPORT
We want to say Thank You to all the people that make the Bryan County Turning Point Coa-lition
such a huge success.
• Bryan County Health Department
• Bryan County Coalition
• Bryan County Community Council
• Turning Point Coalition
• Durant Public Schools
• Choctaw Nation Community Health Programs/ Health Services
• Durant Chamber of Commerce
• Durant Kiwanis Club
• Durant Lions Club
• OSU Extension Service
• Medical Center of Southeastern Oklahoma
• Success by Six Initiative
• City of Durant—Parks & Recreation Department
• Southeast Oklahoma Division on Aging ( SODA)
• Chickasaw Nation Health Services
Caddo County
County Demographics 2
Top 10 Leading Causes of Death 2
Nutrition & Obesity 2
Top 10 Leading Causes of Death Table 3
Injury & Violence 4
Tobacco use 4
Physical Activity, Wellness & Diabetes 4
Inside this issue:
State of the County’s
Health Report
O K L A H O M A S T A T E
D E P A R T M E N T O F H E A L T H
Caddo County
A Look Back To Move Forward
Teen Pregnancy 5
Poverty 5
OK By One—State Immunization Data 6
County Health Department Usage 7
Health Care Costs Summary 7
Turning Point 8
The state of Oklahoma has been in a downward health trend
since the 1990’s, until recently. Through the efforts of the state
and county health departments, state and local governments
and the individual communities the health of Oklahomans is
looking up. However, we could do more to improve the health
of the citizens of Oklahoma.
This report focuses on the health factors for the citizens of
Caddo County. We will take a look back to discover what has
been affecting the health of the citizens in order to move for-ward
and make healthy, effective and safe changes for all.
Demographics
Top 10 Leading Causes of Death
* Vital Statistics, Health Care
Information Systems, OSDH &
Centers for Disease Control
same rate as the nation, and
health care costs are reflecting
this downward spiral of
health. For persons under the
age of 65, on average, health
care costs are $395 more for
obese individuals and are
even greater for persons
over the age of 65.
In 2002-2004, 32.8%
With the United States coming in as the
most obese country in the world, health
care costs related to obesity and poor
nutrition are on the rise.
Of the 292 million people in the United
States, 129 million are overweight or
obese according to their body mass in-dex
(BMI). The number of obese (BMI
> 29) and overweight (BMI 25-29) Ok-lahomans
has been increasing at the
( 9,863 ) of people in Caddo
County were considered obese
which accounted for an addi-tional
$3,895,885 in medical
costs for the county. These costs
are underestimated because they
do not take into account
the percentage of obese or
overweight persons who
are over the age of 65.
Page 2
Nutrition and Obesity
is still the leading cause
of death among all age
groups. According to
the Centers for Disease
Control, almost
$400,000 is spent on
each heart disease-related
death. With an
average of 127.5 deaths
a year, heart disease
accounts for over $47
million a year in medical costs in
The top 10 leading causes of death
table on the next page displays a
broad picture of the causes of death
in Caddo County. Since many
health-related issues are unique to
specific ages, this table provides
causes of death by age group at a
glance. The causes of death that are
present across almost every age
group have been highlighted. From
1983 to 1993 heart disease killed
1,452 people in Caddo County and
STATE OF THE COUNTY’S HEALTH REPORT
Sensible Foods — Sensible
Portions
5 to 9 Fruits & Vegetables
a Day
* Behavioral Risk Factor Surveillance Sys-tem,
Health Care Information System, OSDH
& Health Affairs Journal, R. Strum, 2002
* U.S. Census Bureau
• Population estimates
o 2% increase from 1990 to 2000
(29,550 to 30,150)
o 0% increase from 2000 to 2004
o Ranked 40th for growth in state
2000 Census
• Hispanic/Latino ethnicity = 6%
• Race
o Whites = 66%
o Native Americans =24%
o Blacks =3%
o Other/Multiple = 7%
• Age
o Under 5 = 7%
o Over 64 = 15%
o Median age = 36.0 years
• Housing units
o Occupied = 10,957 (84%)
o Vacant = 2,139 (16%)
• Disability (ages 21 to 64) = 22.5%
national = 19.2% state = 21.5%
• Individuals below poverty = 21.7%
national = 12.4% state = 14.7%
Caddo County Population Growth with Projections
27,000
28,000
29,000
30,000
31,000
32,000
33,000
34,000
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2010
2015
2020
2025
2030
Year
County Population
0.70%
0.75%
0.80%
0.85%
0.90%
0.95%
1.00%
Percent of State
Population
Caddo Percent of Population
Caddo County.
Alzheimer’s disease and
the complications associ-ated
with it have increased
from the 12th ranked cause
of death (1983-1993) to
the 9th ranked cause of
death in persons 65 and
older accounting for a
231% increase in deaths.
Heart disease
accounts for over
$47 million a year in
medical costs in
Caddo County.
CADDO COUNTY Page 3
Rank 0-4 05-14 15-24 25-34 35-44 45-54 55-64 65+ All Ages
PERINATAL
PERIOD
UNINTENT.
INJURY
UNINTENT.
INJURY
UNINTENT.
INJURY
UNINTENT.
INJURY
HEART
DISEASE
HEART
DISEASE
HEART
DISEASE
HEART
DISEASE
15 8 52 31 34 65 135 1167 1402
CONGENITAL
ANOMALIES
HEART
DISEASE
SUICIDE
HOMICIDE/
LEGAL
HEART
DISEASE
CANCER CANCER CANCER CANCER
13 3 7 9 24 54 117 547 742
SIDS
CONGENITAL
ANOMALIES
HOMICIDE/
LEGAL
SUICIDE CANCER
UNINTENT.
INJURY
STROKE STROKE STROKE
4 1 5 6 18 23 28 244 287
HEART
DISEASE
OTHER
COMPLICATED
PREGNANCY
CANCER LIVER DISEASE LIVER DISEASE
BRONCHITIS/
EMPHYSEMA/
ASTHMA
BRONCHITIS/
EMPHYSEMA/
ASTHMA
UNINTENT.
INJURY
3 2 2 5 11 19 26 162 239
INFLUENZA/
PNEUMONIA
HEART
DISEASE
DIABETES
MELLITUS
HOMICIDE/
LEGAL
DIABETES
MELLITUS
DIABETES
MELLITUS
INFLUENZA/
PNEUMONIA
BRONCHITIS/
EMPHYSEMA/
ASTHMA
3 2 4 10 11 25 141 193
SEPTICEMIA
(BLOOD
POISONING)
NON-CANCEROUS
TUMOR
STROKE
DIABETES
MELLITUS
SUICIDE
UNINTENT.
INJURY
DIABETES
MELLITUS
DIABETES
MELLITUS
2 1 3 6 10 21 114 160
STROKE STROKE
HEART
DISEASE
HIV STROKE LIVER DISEASE
UNINTENT.
INJURY
INFLUENZA/
PNEUMONIA
1 1 3 5 6 16 69 158
HOMICIDE/
LEGAL
CONGENITAL
ANOMALIES
INFLUENZA/
PNEUMONIA
SUICIDE
SEPTICEMIA
(BLOOD
POISONING)
SEPTICEMIA
(BLOOD
POISONING)
KIDNEY
DISEASE
KIDNEY
DISEASE
1 1 3 5 5 9 68 79
KIDNEY